NO348288B1 - Polynucleotides encoding anti-CD38 antibodies. - Google Patents
Polynucleotides encoding anti-CD38 antibodies. Download PDFInfo
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- NO348288B1 NO348288B1 NO20211026A NO20211026A NO348288B1 NO 348288 B1 NO348288 B1 NO 348288B1 NO 20211026 A NO20211026 A NO 20211026A NO 20211026 A NO20211026 A NO 20211026A NO 348288 B1 NO348288 B1 NO 348288B1
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Description
Oppfinnelsens bakgrunn Background of the invention
CD38 er et 45 kD type II transmembran glykoprotein med et langt C-temrinalt, ekstracellulært domene og et kort N-terminalt cytoplasmisk domene. CD38-protein er et bifunksjonelt ektoenzym som kan katalysere konvertering av NAD<+ >til syklisk ACDP-ribose (cADPR) og også hydrolysere cADPR til ADP-ribose. Under ontogeni opptrer CD38 på CD34<+>-belastede stamceller og linje-belastede progenitorer av lymfoid-, erytroid- og myeloidceller. CD38-ekspresjonen forblir som regel i lymfoidlinjen med varierende ekspresjonsnivåer på forskjellige nivåer av T- og B-celleutvikling. CD38 is a 45 kD type II transmembrane glycoprotein with a long C-terminal extracellular domain and a short N-terminal cytoplasmic domain. CD38 protein is a bifunctional ectoenzyme that can catalyze the conversion of NAD<+ >to cyclic ACDP-ribose (cADPR) and also hydrolyze cADPR to ADP-ribose. During ontogeny, CD38 appears on CD34<+>-loaded stem cells and lineage-loaded progenitors of lymphoid, erythroid, and myeloid cells. CD38 expression generally remains in the lymphoid lineage with varying levels of expression at different stages of T- and B-cell development.
CD38 oppreguleres i mange hematopoietiske malignanser, og i cellelinjer avledet fra forskjellige hematopoietiske malignanser, inkludert ikke-Hodgkins lymfom (NHL), Burkitts lymfom (BL), multippelt myelom (MM), B-kronisk lymfocytisk leukemi (B-CLL), B- og T-akutt lymfocytisk leukemi (ALL), T-celle lymfom (TCL), akutt myeloid leukemi (AML), hårcelle leukemi (HCL), Hodgkins lymfom (HL) og kronisk myeloid leukemi (CML). På den annen side er de mest primitive, pluripotente stamceller i det hematopoietiske system CD38-. CD38-ekspresjon i hematopoietiske malignanser og dennes korrelasjon med sykdomsprogresjon gjør CD38 til et attraktivt mål for antistoffterapi. CD38 is upregulated in many hematopoietic malignancies, and in cell lines derived from various hematopoietic malignancies, including non-Hodgkin's lymphoma (NHL), Burkitt's lymphoma (BL), multiple myeloma (MM), B-chronic lymphocytic leukemia (B-CLL), B- and T-acute lymphocytic leukemia (ALL), T-cell lymphoma (TCL), acute myeloid leukemia (AML), hairy cell leukemia (HCL), Hodgkin's lymphoma (HL), and chronic myeloid leukemia (CML). On the other hand, the most primitive, pluripotent stem cells in the hematopoietic system are CD38-. CD38 expression in hematopoietic malignancies and its correlation with disease progression make CD38 an attractive target for antibody therapy.
CD38 er rapporert til å være involvert i Ca<2+>-mobilisering (M. Morra et al., 1998, FASEB J., 12: 581-592; M. T. Zilber et al., 2000, Proc Natl Acad Sci U S A, 97: 2840-2845) og i signaltransduksjon via tyrosinfosforylering av tallrike signalmolekyler, inkludert fosfolipase C- γ, ZAP-70, syk og c-cbl i lymfoid- og myeloidceller eller cellelinjer (A. Funaro et al., 1993, Eur J Immunol, 23: 2407-2411; M. Morra et al., 1998, FASEB J., 12: 581-592; A. Funaro et al., 1990, J Immunol, 145: 2390-2396; M. Zubiaur et al., 1997, J Immunol, 159: 193-205; S. Deaglio et al., 2003, Blood, 102: 2146-2155; E. Todisco et al., 2000, Blood, 95: 535-542; M. Konopleva et al., 1998, J Immunol, 161: 4702-4708; M. T. Zilber et al., 2000, Proc Natl Acad Sci U S A, 97: 2840-2845; A. Kitanaka et al., 1997, J Immunol, 159: 184-192; A. Kitanaka et al., 1999, J Immunol, 162: 1952-1958; R. Mallone et al., 2001, Int Immunol, 13: 397-409). På basis av disse observasjonene ble CD38 foreslått å være et viktig signalerende molekyl ved modning og aktivering av lymfoid- og myeloidceller under deres normale utvikling. CD38 has been reported to be involved in Ca<2+> mobilization (M. Morra et al., 1998, FASEB J., 12: 581-592; M. T. Zilber et al., 2000, Proc Natl Acad Sci U S A, 97: 2840-2845) and in signal transduction via tyrosine phosphorylation of numerous signaling molecules, including phospholipase C-γ, ZAP-70, syk and c-cbl in lymphoid and myeloid cells or cell lines (A. Funaro et al., 1993, Eur J Immunol, 23: 2407-2411; M. Morra et al., 1998, FASEB J., 12: 581-592; A. Funaro et al., 1990, J Immunol, 145: 2390-2396; M. Zubiaur et al., 1997, J Immunol, 159: 193-205; S. Deaglio et al., 2003, Blood, 102: 2146-2155; E. Todisco et al., 2000, Blood, 95: 535-542; M. Konopleva et al., 1998, J Immunol, 161: 4702-4708; M.T. Zilber et al., 2000, Proc Natl Acad Sci U S A, 97: 2840-2845; A. Kitanaka et al., 1997, J Immunol, 159: 184-192; A. Kitanaka et al., 1999, J Immunol, 162: 1952-1958; R. Mallone et al., 2001, Int Immunol, 13: 397-409). Based on these observations, CD38 was proposed to be an important signaling molecule in the maturation and activation of lymphoid and myeloid cells during their normal development.
Den eksakte rolle for CD38 i signaltransduksjon og hematopoiese er fremdeles ikke helt avklart, særlig fordi de fleste av disse signaltransduksjonsstudier har benyttet cellelinjer som ektopikalt overeksprimerer CD38 og anti-CD38 monoklonale antistoffer, som er ikke-fysiologiske ligander. Fordi CD38-proteinet har en enzymatisk aktivitet som gir cADPR, et molekyl som kan indusere CD<2+>-mobilisering H. C. Lee et al., 1989, J Biol Chem, 264: 1608-1615; H. C. Lee og R. Aarhus, 1991, Cell Regul, 2: 203-209), er det foreslått at CD38-ligering med monoklonale antistoffer utløser Ca<2+>-mobilisering og signaltransdukering i lymfocytter ved øket produksjon av cADPR (H. C. Lee et al., 1997, Adv Exp Med Biol, 419: 411-419). Mot denne hypotese, viste trunkering og punktmuteringsanalyser av CD38-protein at verken den cytoplasmiske hale eller dens enzymatiske aktivitet er nødvendig for signalering mediert av anti-DD38-antistoffer (A. Kitanaka et al., 1999, J Immunol, 162: 1952-1958; F. E. Lund et al., 1999, J Immunol, 162: 2693-2702; S. Hoshino et al., 1997, J Immunol, 158, 741-747). The exact role of CD38 in signal transduction and hematopoiesis is still not fully understood, especially since most of these signal transduction studies have used cell lines that ectopically overexpress CD38 and anti-CD38 monoclonal antibodies, which are non-physiological ligands. Because the CD38 protein has an enzymatic activity that yields cADPR, a molecule that can induce CD<2+> mobilization H. C. Lee et al., 1989, J Biol Chem, 264: 1608-1615; H. C. Lee and R. Aarhus, 1991, Cell Regul, 2: 203-209), it has been proposed that CD38 ligation with monoclonal antibodies triggers Ca<2+> mobilization and signal transduction in lymphocytes by increased production of cADPR (H. C. Lee et al., 1997, Adv Exp Med Biol, 419: 411-419). Against this hypothesis, truncation and point mutation analyses of CD38 protein showed that neither the cytoplasmic tail nor its enzymatic activity is required for signaling mediated by anti-CD38 antibodies (A. Kitanaka et al., 1999, J Immunol, 162: 1952-1958; F. E. Lund et al., 1999, J Immunol, 162: 2693-2702; S. Hoshino et al., 1997, J Immunol, 158, 741-747).
Det beste bevis på virkningen av CD38 kommer fra CD38<-/->-knock-out mus som har en defekt i den innate immunitet og en redusert T-celleavhengig humoral respons på grunn av en defekt i dendrittisk cellemigrering (S. Partida-Sanchez et al., 2004, Immunity, 20: 279-291; S. Partida-Sanchez et al., 2001, Nat Med, 7: 1209-1216). Ikke desto mindre er det ikke helt klart hvorvidt den CD38 som virker i mus er identisk med den i humane, fordi CD38-ekspresjonsmønsteret under hematopoiese skiller seg sterkt mellom human og mus: a) forskjellige immature progrenitor stamceller i humaner, tilsvarende progenitor stamceller i mus uttrykket et høyt nivå av CD38 (T. D. Randall et al., 1996, Blood, 87: 4057-4067; R. N. Dagher et al., 1998, Biol Blood Marrow Transplant, 4: 69-74), mens under den humane B-celleutvikling, høye nivåer av CD38-ekspresjon finnes i germinalsenter B-celler og plasmaceller (F. M. Uckun, 1990, Blood, 76: 1908-1923; M. Kumagai et al., 1995, J Exp Med, 181: 1101-1110), i mus er CD38-ekspresjonsnivåene i de tilsvarende celler lave (A. M. Oliver et al., 1997, J Immunol, 158: 1108-1115; A. Ridderstad og D. M. Tarlinton 1998, J Immunol, 160: 4688-4695). The best evidence for the action of CD38 comes from CD38<-/->-knock-out mice that have a defect in innate immunity and a reduced T-cell-dependent humoral response due to a defect in dendritic cell migration (S. Partida-Sanchez et al., 2004, Immunity, 20: 279-291; S. Partida-Sanchez et al., 2001, Nat Med, 7: 1209-1216). Nevertheless, it is not entirely clear whether the CD38 that functions in mice is identical to that in humans, because the CD38 expression pattern during hematopoiesis differs greatly between humans and mice: a) various immature progenitor stem cells in humans, corresponding to progenitor stem cells in mice, express a high level of CD38 (T. D. Randall et al., 1996, Blood, 87: 4057-4067; R. N. Dagher et al., 1998, Biol Blood Marrow Transplant, 4: 69-74), whereas during human B-cell development, high levels of CD38 expression are found in germinal center B cells and plasma cells (F. M. Uckun, 1990, Blood, 76: 1908-1923; M. Kumagai et al., 1995, J Exp Med, 181: 1101-1110), in mice it is The CD38 expression levels in the corresponding cells low (A. M. Oliver et al., 1997, J Immunol, 158: 1108-1115; A. Ridderstad and D. M. Tarlinton 1998, J Immunol, 160: 4688-4695).
Flere anti-human CD38-antistoffer med forskjellige proliferative egenskaper på forskjellige tumorceller og cellelinjer er beskrevet i litteraturen. For eksempel medierer et kimert OKT10-antistoff med mus Fab og human IgG1 Fc-antistoffmediert cytotoksisitet (ADCC) med meget effektivitet mot lymfomceller i nærvær av nukleære perifere blodeffektorceller fra enten MM-pasienter eller normale individer (F. K. Several anti-human CD38 antibodies with different proliferative properties on different tumor cells and cell lines have been described in the literature. For example, a chimeric OKT10 antibody with mouse Fab and human IgG1 Fc mediates antibody-mediated cytotoxicity (ADCC) with high efficacy against lymphoma cells in the presence of nucleated peripheral blood effector cells from either MM patients or normal individuals (F. K.
Stevenson et al.1991, Blood, 77: 1071-1079). En CDR-podet humanisert versjon av anti-CD38-antistoff AT13/5 er påvist å ha potent ADCC-aktivitet mot CD38-positive cellelinjer (US 09/797941 A1). Humane monoklonale anti-CD38-antistoffer er påvist å mediere den in vitro-avlivning av CD38-positive cellelinjer ved ADCC og/eller komplement-avhengig cytotoksisitet (CDC) (WO2005/103083), og å forsinke tumorveksten i SCID-mus med MM-cellelinjen RPMI-8226 (WO 2005/103083 A2). På den annen side induserte flere anti-CD38-antistoffer, IB4, SUN-4B7 og OKT10, men ikke IB6, AT1 eller AT2, proliferering av mononukleære, perifere blodceller (PBMC) fra normale individer (C. M. Ausiello et al.2000, Tissue Antigens, 56: 539-547). Stevenson et al.1991, Blood, 77: 1071-1079). A CDR-grafted humanized version of the anti-CD38 antibody AT13/5 has been shown to have potent ADCC activity against CD38-positive cell lines (US 09/797941 A1). Human monoclonal anti-CD38 antibodies have been shown to mediate the in vitro killing of CD38-positive cell lines by ADCC and/or complement-dependent cytotoxicity (CDC) (WO2005/103083), and to delay tumor growth in SCID mice with the MM cell line RPMI-8226 (WO 2005/103083 A2). On the other hand, several anti-CD38 antibodies, IB4, SUN-4B7 and OKT10, but not IB6, AT1 or AT2, induced proliferation of peripheral blood mononuclear cells (PBMC) from normal individuals (C. M. Ausiello et al. 2000, Tissue Antigens, 56: 539-547).
Noen av antistoffene ifølge den kjente teknikken er påvist å være i stand til å utløse apoptose i CD38<+ >B-celler. Imidlertid kan de kun gjøre dette i nærvær av stromaceller eller stroma-avledede cytokiner. Et agonistisk anti-CD38-antistoff (IB4) er rapportert å forhindre apoptose av human germinalsenter (GC) B-celler (S. Zupo et al.1994, Eur J Immunol, 24: 1218-1222), og å indusere proliferering av KG-1- og HL-60 AML-celler (M. Konopleva et al. 1998, J Immunol, 161: 4702-4708), men induserer apoptose i Jurkat T-lymfoblastiske celler (M. Morra et al.1998, FASEB J, 12: 581-592). Et annet anti-CD38-antistoff T16 induserte apoptose av immature lymfoidceller og leukemiske lymfoblastceller fra en ALL-pasient (M. Kumagai et al.1995, J Exp Med, 181: 1101-1110), og av leukemiskee myeloblastceller fra AML-pasienter (E. Todisco et al. 2000, Blood, 95: 535-542), men T16-indusert apoptose kun i nærvær av stromaceller eller stroma-avledede cytokiner (IL-7, IL-3, stamcellefaktor). Some of the prior art antibodies have been shown to be able to induce apoptosis in CD38<+ >B cells. However, they can only do so in the presence of stromal cells or stromal-derived cytokines. An agonistic anti-CD38 antibody (IB4) has been reported to prevent apoptosis of human germinal center (GC) B cells (S. Zupo et al.1994, Eur J Immunol, 24:1218-1222), and to induce proliferation of KG-1 and HL-60 AML cells (M. Konopleva et al. 1998, J Immunol, 161:4702-4708), but induces apoptosis in Jurkat T-lymphoblastic cells (M. Morra et al.1998, FASEB J, 12:581-592). Another anti-CD38 antibody T16 induced apoptosis of immature lymphoid cells and leukemic lymphoblast cells from an ALL patient (M. Kumagai et al.1995, J Exp Med, 181: 1101-1110), and of leukemic myeloblast cells from AML patients (E. Todisco et al. 2000, Blood, 95: 535-542), but T16 induced apoptosis only in the presence of stromal cells or stromal-derived cytokines (IL-7, IL-3, stem cell factor).
På den annen side induserer visse tidligere kjente antistoffer apoptose etter fornettning, men er totalt fri for enhver apoptotisk aktivitet inkubert alene (WO 2006/099875). On the other hand, certain previously known antibodies induce apoptosis after cross-linking, but are totally free of any apoptotic activity incubated alone (WO 2006/099875).
Fordi CD38 er et attraktivt mål for antistoffterapi for forskjellige hematopoietiske malignanser, ble det generert og screenet et stort antall av anti-human CD38-antistoffer med henblikk på høy potens i de følgende tre cytotoksiske aktiviteter mot CD38-positive, malignante hematopoietiske celler: indusering av apopose, ADCC og CDC. Foreliggende beskrivelse beskriver nye anti-CD38-antistoffer som er i stand til å avlive CD38<+>-celler via tre forskjellige, cytotoksiske mekanismer, nemlig induksjon av apoptose, ADCC og CDC. Bemerkelsesverdi beskriver foreliggende beskrivelse de første anti-CD38-antistoffer som er i stand til direkte å indusere apoptose av CD38<+>-celler, selv uten nærvær av stromaceller eller stromaavledede cytokiner. Because CD38 is an attractive target for antibody therapy for various hematopoietic malignancies, a large number of anti-human CD38 antibodies were generated and screened for high potency in the following three cytotoxic activities against CD38-positive malignant hematopoietic cells: induction of apoptosis, ADCC and CDC. The present disclosure describes novel anti-CD38 antibodies that are capable of killing CD38<+> cells via three distinct cytotoxic mechanisms, namely induction of apoptosis, ADCC and CDC. Notably, the present disclosure describes the first anti-CD38 antibodies that are capable of directly inducing apoptosis of CD38<+> cells, even in the absence of stromal cells or stromal-derived cytokines.
Videre vedrører WO 9616990 monoklonale antistoffer mot CD38 hvor det er innsatt fremmede CDR regioner mens rammeverket er av human eller primat opprinnelse. Furthermore, WO 9616990 relates to monoclonal antibodies against CD38 in which foreign CDR regions have been inserted while the framework is of human or primate origin.
Ellis J.H. et al.; "Engineered anti-CD38 monoclonal antibodies for immunotherapy of multiple myeloma", Journal of Immunology, 1995, vol.155, nr.2, side 925-937 vedrører et høy-affinitets monoklonalt antistoff mot CD38 betegnet AT13/5. Ellis J.H. et al.; "Engineered anti-CD38 monoclonal antibodies for immunotherapy of multiple myeloma", Journal of Immunology, 1995, vol.155, no.2, pages 925-937 relates to a high-affinity monoclonal antibody against CD38 designated AT13/5.
Oppsummering av oppfinnelsen Summary of the invention
Foreliggende oppfinnelse angår ett eller flere polynukleotider som koder for et anti-CD38antistoff eller epitopbindende fragment derav, der antistoffet eller det epitopbindende fragment derav omfatter en tungkjede variabel region (VH) omfattende SEQ ID NO: 66 og en lettkjede variabel region (VL) omfattende SEQ ID NO: 62 eller 64. The present invention relates to one or more polynucleotides encoding an anti-CD38 antibody or epitope-binding fragment thereof, wherein the antibody or epitope-binding fragment thereof comprises a heavy chain variable region (VH) comprising SEQ ID NO: 66 and a light chain variable region (VL) comprising SEQ ID NO: 62 or 64.
En utførelsesform ifølge oppfinnelsen angår en rekombinant vektor omfattende ett eller flere polynukleotider ifølge oppfinnelsen. An embodiment of the invention relates to a recombinant vector comprising one or more polynucleotides of the invention.
En ytterligere utførelsesform ifølge oppfinnelsen angår en vertscelle omfattende en vektor ifølge oppfinnelsen. A further embodiment of the invention relates to a host cell comprising a vector according to the invention.
Foreliggende beskrivelse beskriver antistoffer for spesifikk binding av CD38, og i stand til å avlive CD38<+>-celler ved apoptose. Mens noen antistoffer ifølge en viss kjent teknikk er i stand til å utløse apoptose kun ved fornetning eller kryssbinding, men ellers er fri for enhver apoptotisk aktivitet, er antistoffene ifølge beskrivelse i stand til å indusere apoptotisk celledød for CD38<+>-celler, uansett om de er inkubert alene. The present disclosure describes antibodies for specific binding of CD38, and capable of killing CD38<+> cells by apoptosis. While some antibodies according to certain prior art are capable of triggering apoptosis only by crosslinking or crosslinking, but are otherwise devoid of any apoptotic activity, the antibodies according to the disclosure are capable of inducing apoptotic cell death of CD38<+> cells, whether or not they are incubated alone.
Bemerkelsesverdi er at antistoffene beskrevet heri er de første anti-CD38-antistoffer som er påvist å avlive CD38<+ >B-celler ved alle de tre forskjellige mekanismer, nemelig apoptose, ADCC og CDC. I en ytterligere utførelsesform er antistoffet i stand til å avlive CD38<+ >B-celler ved apoptose selv i fravær av stromaceller og stroma-avledede cytokiner. Notably, the antibodies described herein are the first anti-CD38 antibodies that have been shown to kill CD38<+ >B cells by all three distinct mechanisms, namely apoptosis, ADCC, and CDC. In a further embodiment, the antibody is capable of killing CD38<+ >B cells by apoptosis even in the absence of stromal cells and stromal-derived cytokines.
Antistoffene beskrevet her er i stand til særlig å avlive maligne CD38<+ >B-celler inkludert lymfom-, leukemi- og multiple myelomceller. I visse utførelsesformer er denne CD38<+ >B-celle en NHL-, BL-, MM-, B-CLL-, ALL-, TCL-, AML-, HCL-, HL-eller CML-celle. The antibodies described herein are capable of specifically killing malignant CD38<+ >B cells including lymphoma, leukemia, and multiple myeloma cells. In certain embodiments, the CD38<+ >B cell is an NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL, or CML cell.
Videre er antistoffene beskrevet heri i stand til å avlive 24% Daudi-lymfomceller og/eller minst 7% av Ramos-lymfoceller og/eller 11% av MOLP-8 multipple myelomceller og/eller 36% av SU-DHL-8-lymfoceller og/eller 62% av DND-41-leukemiceller og/eller 27% av NU-DUL-1-lymfomceller og/eller 9% JVM-13-leukemiceller og/eller 4% av HC-1-leukemiceller ved apoptose i fravær av stromaceller eller stroma-avledede cytokiner. Furthermore, the antibodies described herein are capable of killing 24% of Daudi lymphoma cells and/or at least 7% of Ramos lymphocytes and/or 11% of MOLP-8 multiple myeloma cells and/or 36% of SU-DHL-8 lymphocytes and/or 62% of DND-41 leukemia cells and/or 27% of NU-DUL-1 lymphoma cells and/or 9% of JVM-13 leukemia cells and/or 4% of HC-1 leukemia cells by apoptosis in the absence of stromal cells or stromal-derived cytokines.
Antistoffer beskrevet heri kan være polyklonale eller monoklonale. Foretrukket er monoklonale anti-CD38-antistoffer. Foreliggende beskrivelse beskriver murine antistoffer valgt blant 38SB13, 38SB18, 38SB19, 38SB0, 38SB31 og 38SB39, som alle her er fullt karakterisert med henblikk på aminosyresekvenser for både de variable lette og tunge områder, identifisering av deres CDR’er (komplementaritetsbestemmende områder), identifisering av deres overflate aminosyrer og midler for ekspresjon i rekombinant form. Antibodies described herein may be polyclonal or monoclonal. Monoclonal anti-CD38 antibodies are preferred. The present disclosure describes murine antibodies selected from 38SB13, 38SB18, 38SB19, 38SB0, 38SB31 and 38SB39, all of which are herein fully characterized with respect to amino acid sequences for both the variable light and heavy regions, identification of their CDRs (complementarity determining regions), identification of their surface amino acids and means for expression in recombinant form.
Foreliggende beskrivelse inkluderer kimere versjoner av det murine anti-CD38-monoklonale antistoff valgt blant 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39. Også beskrevet er resurfaserte eller humaniserte versjoner av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer der de overflateeksponerte rester i det variable rammeverksområdet i antistoffene, eller deres epitopbindende fragmenter, er erstattet når det gjelder både lette og tunge kjeder til nærmere å minne om kjente humanantistoff overflater. De humaniserte antistoffer og epitopbindende fragmenter beskrevet heri har forbedrede egenskaper dit hen at de er mindre immunogene (eller fullstendig ikke-immunogene) enn murin-versjoner i humane individer til hvilket de er administrert. Således gjenkjenner de forskjellige versjoner av humanisert 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer og epitopbindende fragmenter derav , særlig CD38 uten å være immunogene mot et menneske. The present disclosure includes chimeric versions of the murine anti-CD38 monoclonal antibody selected from 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39. Also disclosed are resurfaced or humanized versions of 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies in which the surface-exposed residues in the variable framework region of the antibodies, or their epitope-binding fragments, are replaced in both light and heavy chains to more closely resemble known human antibody surfaces. The humanized antibodies and epitope-binding fragments described herein have improved properties in that they are less immunogenic (or completely non-immunogenic) than the murine versions in human subjects to which they are administered. Thus, the different versions of humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies and epitope-binding fragments thereof recognize, in particular, CD38 without being immunogenic to a human.
De humaniserte versjoner av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer karakteriseres fullt ut her med henblikk på de respektive aminosyresekvenser for både lett- og tungkjedevariable områder, DNA-sekvensene for genene for lett- og tungkjedevariable områder, identifisering av de komplementære determinerende områder (CDR), identifisering av disses variable områder når det gjelder rammeverksoverflate aminosyrerester, og beskrivelse av midler for deres ekspresjon i rekombinant form. The humanized versions of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibodies are fully characterized herein with respect to the respective amino acid sequences for both light and heavy chain variable regions, the DNA sequences for the genes for light and heavy chain variable regions, identification of the complementary determining regions (CDRs), identification of their variable regions in terms of framework surface amino acid residues, and description of means for their expression in recombinant form.
Beskrivelsen tar også sikte på konjugater mellom cytotoksiske konjugater omfattende (1) et cellebindende middel som gjenkjenner og binder CD38, og (2) et cytotoksisk middel. I de cytotoksiske konjugater har det cellebindende middel en høy affinitet for CD38 og det cytotoksiske middel har en høy grad av cytotoksisitet for celler som uttrykker CD38, slik at de cytotoksiske konjugater gir effektive avlivningsmidler. The disclosure also contemplates conjugates between cytotoxic conjugates comprising (1) a cell binding agent that recognizes and binds CD38, and (2) a cytotoxic agent. In the cytotoxic conjugates, the cell binding agent has a high affinity for CD38 and the cytotoxic agent has a high degree of cytotoxicity to cells expressing CD38, such that the cytotoxic conjugates provide effective killing agents.
Fortrinnsvis er cellebindingsmidler et anti-CD38-antistoff (for eksempel 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39) eller et epitopbindende fragment derav, og mer spesielt et humanisert anti-CD38-antistoff (for eksempel 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39), eller et epitop-bindende fragment derav, der et cytotoksisk middel kovalent er bundet, direkte eller via en spaltbar eller ikke-spaltbar linker, til antistoffet eller det epitopbindende fragment derav. I større detalj er det cellebindende middel det humaniserte 38SB19--antistoffet , og det cytotoksiske middel er et taksol, et maytansinoid, et tomaymycinderivat, et leptomycinderivat, CC-1065 eller en CC-1065-analog. Preferably, cell binding agents are an anti-CD38 antibody (e.g., 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39) or an epitope-binding fragment thereof, and more particularly a humanized anti-CD38 antibody (e.g., 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39), or an epitope-binding fragment thereof, wherein a cytotoxic agent is covalently linked, directly or via a cleavable or non-cleavable linker, to the antibody or epitope-binding fragment thereof. In greater detail, the cell-binding agent is the humanized 38SB19 antibody, and the cytotoxic agent is a taxol, a maytansinoid, a tomaymycin derivative, a leptomycin derivative, CC-1065 or a CC-1065 analog.
Mer foretrukket er det cellebindende middel det humaniserte anti-CD38-antistoff 38SB19, og det cytotoksiske middel er en maytansinforbindelse som DM1 eller DM4. More preferably, the cell binding agent is the humanized anti-CD38 antibody 38SB19, and the cytotoxic agent is a maytansine compound such as DM1 or DM4.
Foreliggende beskrivelse omfatter også anvendelsen av fragmenter av anti-CD38-antistoffer som bibeholder evnen til å binde CD38. I et ytterligere aspekt av beskrivelsen tas det sikte på bruk av funksjonelle ekvivalenter av anti-CD38-antistoffer. The present disclosure also encompasses the use of fragments of anti-CD38 antibodies that retain the ability to bind CD38. In a further aspect of the disclosure, the use of functional equivalents of anti-CD38 antibodies is contemplated.
Foreliggende beskrivelse inkluderer også en metode for inhibering av veksten av en celle som uttrykker CD38. I foretrukne utførelsesformer skjer denne fremgangsmåte for inhibering av vekst av celler som uttrykker CD38 in vivo, og resulterer i celledød selv om in vitro- og ex vivo-anvendelser også er inkludert. The present disclosure also includes a method for inhibiting the growth of a cell expressing CD38. In preferred embodiments, this method for inhibiting the growth of cells expressing CD38 occurs in vivo, resulting in cell death, although in vitro and ex vivo uses are also included.
Foreliggende beskrivelse beskriver også et farmasøytisk preparat omfattende et anti-CD38-antistoff eller et anti-CD38-antistoff-cytotoksisk middel konjugat, og en farmasøytisk akseptabel bærer eller eksipient. I visse utførelsesformer omfatter det terapeutiske middel et andre terapeutisk middel. Dette andre terapeutiske middel kan velges fra gruppen omfattende antagonister av epidermal vekstfaktor (EGF), fibroblast vekstfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær endotelial vekstfaktor (VEGF), eller en antagonist av en reseptor for epidermal vekstfaktor (EGF), fibroblast vekstfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær endotelial vekstfaktor (VEGF) inkludert HER2-reseptor, HER3-reseptor, c-Met og andre reseptortyrosinkinaser. Dette andre terapeutiske middel kan også velges fra gruppen omfattende antistoffer som tar sikte på differensieringscluster (CD) antigener inkludert CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 og CD152. Dette andre, terapeutiske middel kan også velges fra gruppen kjemoterapeutika eller immunomodulatoriske midler. The present disclosure also describes a pharmaceutical composition comprising an anti-CD38 antibody or an anti-CD38 antibody-cytotoxic agent conjugate, and a pharmaceutically acceptable carrier or excipient. In certain embodiments, the therapeutic agent comprises a second therapeutic agent. This second therapeutic agent may be selected from the group comprising antagonists of epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF), or an antagonist of a receptor for epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF) including HER2 receptor, HER3 receptor, c-Met and other receptor tyrosine kinases. This second therapeutic agent may also be selected from the group comprising antibodies targeting cluster of differentiation (CD) antigens including CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 and CD152. This second therapeutic agent may also be selected from the group of chemotherapeutics or immunomodulatory agents.
Foreliggende beskrivelse beskriver videre antistoffet eller konjugatet til bruk ved behandling av et individ med en cancer- eller en inflammatorisk sykdom inkludert autoimmun sykdom ved bruk av de terapeutiske preparater. I visse utførelsesformer er canceren valgt fra en gruppe bestående av NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL og CML. I nok en utførelsesform er den autoimmune sykdom valgt fra en gruppe bestående av systemisk lupus erytematose, multippel sklerose, reumatoid artritt, Crohns sykdom, ulcerativ kolitt, gastritt, Hashimotos tyroiditt, ankyloserende spondylitt, hepatitt C-assosiert kryoglobulinemisk vaskulitt, kronisk fokal encefalitt, bulløs pemfigoid, hemofili A, membranproliferative glomerulonefritt, Sjøgrens sykdom, adult- og juvenil dermatomyositt, adult polymyositt, kronisk urtikaria, primær biliær cirrhose, idiopatisk trombocytopenisk pupura, neuromyelitis optica, Graves dystyroid sykdom, bulløs pemfigoid, membranproliferativ glonerulonefritt, Churg- Strauss syndrom og astma. I foretrukne utførelsesformer omfatter det cytotoksiske konjugat et anti-CD38-antistoff og et cytotoksisk middel. I mer foretrukne utførelsesformer omfatter det cytotoksiske konjugat et humanisert 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoff DM1-konjugat, humanisert 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoff DM4 eller et humanisert 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoff taksankonjugat, og konjugatet administreres sammen med farmasøytisk akseptable bærere eller eksipienter. The present disclosure further describes the antibody or conjugate for use in treating a subject with a cancer or an inflammatory disease including autoimmune disease using the therapeutic compositions. In certain embodiments, the cancer is selected from the group consisting of NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL and CML. In yet another embodiment, the autoimmune disease is selected from the group consisting of systemic lupus erythematosus, multiple sclerosis, rheumatoid arthritis, Crohn's disease, ulcerative colitis, gastritis, Hashimoto's thyroiditis, ankylosing spondylitis, hepatitis C-associated cryoglobulinemic vasculitis, chronic focal encephalitis, bullous pemphigoid, hemophilia A, membranous proliferative glomerulonephritis, Sjogren's disease, adult and juvenile dermatomyositis, adult polymyositis, chronic urticaria, primary biliary cirrhosis, idiopathic thrombocytopenic purpura, neuromyelitis optica, Graves' dysthyroid disease, bullous pemphigoid, membranous proliferative glomerulonephritis, Churg-Strauss syndrome, and asthma. In preferred embodiments, the cytotoxic conjugate comprises an anti-CD38 antibody and a cytotoxic agent. In more preferred embodiments, the cytotoxic conjugate comprises a humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibody DM1 conjugate, humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibody DM4, or a humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibody taxane conjugate, and the conjugate is administered together with pharmaceutically acceptable carriers or excipients.
Det beskrives videre at anti-CD38-antistoffer kan benyttes til å detektere CD38-proteinet i en biologisk prøve. Antistoffene kan også benyttes for å bestemme CD38-nivåene i tumorvev. It is further described that anti-CD38 antibodies can be used to detect the CD38 protein in a biological sample. The antibodies can also be used to determine CD38 levels in tumor tissue.
Foreliggende beskrivelse beskriver også et sett omfattende et anti-CD38-antistoff eller et anti-CD38-antistoff-cytotoksisk middel-konjugat og instruksjoner for bruk. I en foretrukket utførelsesform er disse anti-CD38-antistoffene de humaniserte 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer, det cytotoksiske middel en maytansinforbindelse som DM1 eller DM4, et tomaymycinderivat, et leptomycinderivat eller et taksan, og instruksjoner for anvendelse av konjugater ved behandling av et individ med cancer. Settet kan også inkludere komponenter som er nødvendig for fremstilling av en farmasøytisk, akseptabel formulering, for eksempel en diluent hvis konjugatet foreligger i lyofilisert tilstand, eller i konsentrert form, og for administrering av formuleringen. The present disclosure also describes a kit comprising an anti-CD38 antibody or an anti-CD38 antibody-cytotoxic agent conjugate and instructions for use. In a preferred embodiment, the anti-CD38 antibodies are the humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies, the cytotoxic agent is a maytansine compound such as DM1 or DM4, a tomaymycin derivative, a leptomycin derivative or a taxane, and instructions for use of the conjugates in treating a subject with cancer. The kit may also include components necessary for the preparation of a pharmaceutically acceptable formulation, such as a diluent if the conjugate is in a lyophilized state, or in concentrated form, and for administering the formulation.
Kort beskrivelse av figurene Brief description of the figures
Figur 1A viser en FACS-analyse av den spesifikke binding av renset murin anti-CD38-antistoffer, 38SB12-, 38SB18-, 38SB19-, 38- og 300-19-celler som uttrykker human CD38- og CD38-positive Ramos-lymfomceller; Figure 1A shows a FACS analysis of the specific binding of purified murine anti-CD38 antibodies, 38SB12, 38SB18, 38SB19, 38 and 300-19 cells expressing human CD38 and CD38-positive Ramos lymphoma cells;
Figur 1B viser en FACS-analyse av den spesifikke binding av renset murin anti-CD38-antistoffer, 38SB30-, 38SB31-, 38SB39- og kontroll-anti-CD38-antistoff AT13/15 til 300-19-celler som uttrykker human CD38 og CD38-positive Ramos-lymfomceller; Figur 2 viser bindingstitreringskurvene for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 etablert med Ramos-celler; Figure 1B shows a FACS analysis of the specific binding of purified murine anti-CD38 antibodies, 38SB30, 38SB31, 38SB39 and control anti-CD38 antibody AT13/15 to 300-19 cells expressing human CD38 and CD38-positive Ramos lymphoma cells; Figure 2 shows the binding titration curves for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 established with Ramos cells;
Figur 3 viser FACS-dot-plot (FL4-H; TO-PRO-3-farging; y-akse og FL1-H; Anneksin V-FITC-farging; x-akse) av Ramos-celler som undergår apoptose etter inkubering med 38SB13, 38SB19 eller AT13/5 (10 nM) i 24 timer; Figure 3 shows FACS dot plot (FL4-H; TO-PRO-3 staining; y-axis and FL1-H; Annexin V-FITC staining; x-axis) of Ramos cells undergoing apoptosis after incubation with 38SB13, 38SB19 or AT13/5 (10 nM) for 24 h;
Figur 4A viser midlere prosentandeler av Ramos-celler som undergår apoptose etter en 24-timers inkubering med 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, 38SB39, 38SB7, 38SB23, IB4, AT13/5, OKT10 eller SUN-4B7. Den midlere prosentandel av anneksin V-positive celler (y-akse: inkluderer både TO-PRO-3-positive- og –negative celler) fra duplikatprøver ble plottet; Figure 4A shows the mean percentages of Ramos cells undergoing apoptosis after a 24-hour incubation with 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, 38SB39, 38SB7, 38SB23, IB4, AT13/5, OKT10, or SUN-4B7. The mean percentage of annexin V-positive cells (y-axis: includes both TO-PRO-3-positive and -negative cells) from duplicate samples was plotted;
Figur 4B viser de midlere prosentandeler av Daudi-celler som undergår apoptose etter en 24-timers inkubering med det samme sett av antistoffer som angitt i Figur 4A; Figur 4C viser de midlere prosentandeler av Molp-8-celler som undergår apoptose etter en 24-timers inkubering med det samme sett av antistoffer som angitt i Figur 4A; Figure 4B shows the mean percentages of Daudi cells undergoing apoptosis after a 24-hour incubation with the same set of antibodies as indicated in Figure 4A; Figure 4C shows the mean percentages of Molp-8 cells undergoing apoptosis after a 24-hour incubation with the same set of antibodies as indicated in Figure 4A;
Figur 5A viser et diagram av den humane ekspresjonsvektor som benyttes for å uttrykke hu38SB19-LC; Figure 5A shows a diagram of the human expression vector used to express hu38SB19-LC;
Figur 5B viser et diagram av den humane ekspresjonsvektor som benyttes for å uttrykke hu38SB19-HC; Figure 5B shows a diagram of the human expression vector used to express hu38SB19-HC;
Figur 5C viser et diagram av den humane ekspresjonsvektor som benyttes for å uttrykke både hu38SB19LC og hu38SB19HC; Figure 5C shows a diagram of the human expression vector used to express both hu38SB19LC and hu38SB19HC;
Figur 6A viser ADCC-aktiviteter mediert av antistoffene ch38SB13, ch38SB18 og ch38SB19 mot Ramos-celler; Figure 6A shows ADCC activities mediated by antibodies ch38SB13, ch38SB18 and ch38SB19 against Ramos cells;
Figur 6B viser ADCC-aktiviteter mediert av antistoffene ch38SB30, ch38SB31 og ch38SB39 mot Ramos-celler; Figure 6B shows ADCC activities mediated by antibodies ch38SB30, ch38SB31 and ch38SB39 against Ramos cells;
Figur 7A viser ADCC-aktiviteter mediert av antistoffene ch38SB18, ch38SB19, ch38SB31, og ikke-bindende, kimere human IgG1-kontrollantistoff mot LP-1 multippel myelomceller; Figure 7A shows ADCC activities mediated by antibodies ch38SB18, ch38SB19, ch38SB31, and non-binding, chimeric human IgG1 control antibody against LP-1 multiple myeloma cells;
Figur 7B sammenligner ADCC-aktiviteter, mediert av antistoffene ch38SB19 og murin 38SB19 mot Daudi-celler; Figure 7B compares ADCC activities mediated by the antibodies ch38SB19 and murine 38SB19 against Daudi cells;
Figur 8A viser ADCC-aktiviteter mediert av ch38SB19-antistoffet og av den ikkebindende, kimere human IgG1-kontrollantistoff mot NALM-6 B-ALL-celler; Figure 8A shows ADCC activities mediated by the ch38SB19 antibody and by the non-binding, chimeric human IgG1 control antibody against NALM-6 B-ALL cells;
Figur 8B viser ADCC-aktiviteter mediert av ch38SB19-antistoffet og av den ikkebindende, kimere human IgG1-kontrollantistoff mot MOLT-4 T-ALL-celler; Figure 8B shows ADCC activities mediated by the ch38SB19 antibody and by the non-binding, chimeric human IgG1 control antibody against MOLT-4 T-ALL cells;
Figur 9A viser CDC-aktivieter mediert av antistoffene ch38SB13, ch38SB18, ch38SB19, ch38SB30 og ch38SB39 mot Raji-IMG-celler; Figure 9A shows CDC activities mediated by antibodies ch38SB13, ch38SB18, ch38SB19, ch38SB30 and ch38SB39 against Raji-IMG cells;
Figur 9B viser CDC-aktivieter mediert av antistoffene ch38SB19 og ch38SB31 mot Raji-IMG-celler; Figure 9B shows CDC activities mediated by antibodies ch38SB19 and ch38SB31 against Raji-IMG cells;
Figur 10 viser CDC-aktiviter mediert av antistoffene ch38SB18, ch28SB19, ch28SB31 og av det ikke-bindende, kimere human IgG1-kontrollantistoff, mot LP-1 multiple myelomceller; Figure 10 shows CDC activities mediated by the antibodies ch38SB18, ch28SB19, ch28SB31 and by the non-binding, chimeric human IgG1 control antibody, against LP-1 multiple myeloma cells;
Figur 11A viser CDC-aktiviteter mediert av antistoffene ch38SB13, ch38SB19 og ch38SB39 mot Daudi-celler; Figure 11A shows CDC activities mediated by antibodies ch38SB13, ch38SB19 and ch38SB39 against Daudi cells;
Figur 11B viser CDC-aktiviteter mediert av antistoffene ch38SB18 og ch38SB30 mot Daudi-celler; Figure 11B shows CDC activities mediated by antibodies ch38SB18 and ch38SB30 against Daudi cells;
Figur 11C viser CDC-aktiviteter mediert av antistoffene ch38SB19 og ch38SB31 mot Daudi-celler; Figure 11C shows CDC activities mediated by antibodies ch38SB19 and ch38SB31 against Daudi cells;
Figur 12A viser bindingstitreringskurvene for ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.20 for binding til Ramos-celler; Figure 12A shows the binding titration curves for ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.20 for binding to Ramos cells;
Figur 12B viser bindingskurvene som sammenligner ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.00 med henblikk på evne til å konkurrere med binding av biotinylert murin 38SB19-antistoff til Ramos-celler; Figure 12B shows the binding curves comparing ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.00 for ability to compete with binding of biotinylated murine 38SB19 antibody to Ramos cells;
Figur 13 viser de midlere prosentandeler av Daudi-celler som undergår apoptose etter 24-timers inkubering med ch38SB19-, hu38SB19 v1.00- eller hu38SB19 v1.20-antistoff; Figure 13 shows the mean percentages of Daudi cells undergoing apoptosis after 24-hour incubation with ch38SB19, hu38SB19 v1.00 or hu38SB19 v1.20 antibody;
Figur 14 viser ADCC-aktiviteter mediert av antistoffene ch38SB19, hu38SB19 v1.00, hu38SB19 v1.20, og av ikke-bindende, kimerisk, human IgG1-kontrollantistoff mot LP-1 multiple myelomceller; Figure 14 shows ADCC activities mediated by the antibodies ch38SB19, hu38SB19 v1.00, hu38SB19 v1.20, and by non-binding, chimeric, human IgG1 control antibody against LP-1 multiple myeloma cells;
Figur 15A viser CDC-aktiviteter mediert av antistoffer ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.20 mot Raji-IMG lymfomceller; Figure 15A shows CDC activities mediated by antibodies ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.20 against Raji-IMG lymphoma cells;
Figur 15B viser CDC-aktiviteter mediert av antistoffer ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.20 mot LP-1 multiple myelomceller; Figure 15B shows CDC activities mediated by antibodies ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.20 against LP-1 multiple myeloma cells;
Figur 15C viser CDC-aktiviteter mediert av antistoffer ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.20 mot DND-41 T-celleakutte, lymfoblastiske leukemiceller; Figure 15C shows CDC activities mediated by antibodies ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.20 against DND-41 T-cell acute lymphoblastic leukemia cells;
Figur 16 viser de midlere prosentandeler av Annexin-V-positive celler etter 24 timers inkubering med hu38SB19 v1.00-antistoff for SU-DHL-8-diffuse store B-cellelymfomceller, NU-DUL-1 B-cellelymfomceller, DND-41 T-celleakutte, lymfoblastiske leukemiceller, JVM-13 B-cellekroniske lymfocytiske leukemiceller og HC-1 hårcelleleukemiceller; Figure 16 shows the mean percentages of Annexin-V positive cells after 24 hours of incubation with hu38SB19 v1.00 antibody for SU-DHL-8 diffuse large B-cell lymphoma cells, NU-DUL-1 B-cell lymphoma cells, DND-41 T-cell acute lymphoblastic leukemia cells, JVM-13 B-cell chronic lymphocytic leukemia cells, and HC-1 hairy cell leukemia cells;
Figur 17 viser den porsentuale overlevelse av SCID-mus som bærer etablerte, disseminerte, humane Ramos-tumorer. Musene ble behandlet med murint 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- eller 38SB39-antistoff eller PBS som antydet; Figure 17 shows the percentage survival of SCID mice bearing established disseminated human Ramos tumors. Mice were treated with murine 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 or 38SB39 antibody or PBS as indicated;
Figur 18 viser den prosentuale overlevelse av SCID-mus med etablerte, disseminerte, humane Daudi-tumorer. Musene ble behandlet med hu38SB19- eller mu38SB19-antistoff eller PBS som antydet; Figure 18 shows the percentage survival of SCID mice with established disseminated human Daudi tumors. Mice were treated with hu38SB19 or mu38SB19 antibody or PBS as indicated;
Figur 19 viser det midlere tumorvolum av SCID-mus en NCI-H929 multippel myelom xenografttumorer. Musene ble behandlet med hu38SB19, et ikke-bindende kontroll IgG1-antistoff eller PBS som antydet; og Figure 19 shows the mean tumor volume of SCID mice bearing NCI-H929 multiple myeloma xenograft tumors. Mice were treated with hu38SB19, a non-binding control IgG1 antibody, or PBS as indicated; and
Figur 20 viser det midlere tumorvolum av SCID-mus med MOLP-8 multipple myelom xenografttumorer. Musene ble behandlet med hu38SB19, mu38SB19, et ikke-bindende kontroll IgG1-antistoff og PBS som antydet. Figure 20 shows the mean tumor volume of SCID mice bearing MOLP-8 multiple myeloma xenograft tumors. The mice were treated with hu38SB19, mu38SB19, a non-binding control IgG1 antibody, and PBS as indicated.
Detaljert beskrivelse av oppfinnelsen Detailed description of the invention
Oppfinnelsen er definert i det medfølgende kravsettet. The invention is defined in the accompanying set of claims.
Foreliggende oppfinnelse angår ett eller flere polynukleotider som koder for et anti-CD38antistoff eller epitopbindende fragment derav, der antistoffet eller det epitopbindende fragment derav omfatter en tungkjede variabel region (VH) omfattende SEQ ID NO: 66 og en lettkjede variabel region (VL) omfattende SEQ ID NO: 62 eller 64. The present invention relates to one or more polynucleotides encoding an anti-CD38 antibody or epitope-binding fragment thereof, wherein the antibody or epitope-binding fragment thereof comprises a heavy chain variable region (VH) comprising SEQ ID NO: 66 and a light chain variable region (VL) comprising SEQ ID NO: 62 or 64.
En utførelsesform ifølge oppfinnelsen angår en rekombinant vektor omfattende ett eller flere polynukleotider ifølge oppfinnelsen. An embodiment of the invention relates to a recombinant vector comprising one or more polynucleotides of the invention.
En ytterligere utførelsesform ifølge oppfinnelsen angår en vertscelle omfattende en vektor ifølge oppfinnelsen. A further embodiment of the invention relates to a host cell comprising a vector according to the invention.
Det beskrives antistoffer som er i stand til spesifikt å binde CD38. Særlig beskkrivesnye antistoffer som spesifikt binder til CD38 på celleoverflaten og avliver CD38<+>-celler ved apoptose,ved antistoffavhengig cytotoksisitet (ADCC)og ved komplementavhengig cytotoksisitet (CDC). Således beskrives de første anti-CD38-antistoffer som er i stand til å avlive en CD38<+>-celle ved tre forskjellige mekanismer. Antibodies are described that are capable of specifically binding CD38. In particular, novel antibodies are described that specifically bind to CD38 on the cell surface and kill CD38<+> cells by apoptosis, by antibody-dependent cytotoxicity (ADCC) and by complement-dependent cytotoxicity (CDC). Thus, the first anti-CD38 antibodies are described that are capable of killing a CD38<+> cell by three different mechanisms.
Antistoffer i stand til å binde CD38 og å utløse apoptotisk celledød i CD38<+>-celler er tidligere beskrevet (M. Kumagai et al., 1995, J Exp Med, 181: 1101-1110; E. Todisco et al. 2000, Blood, 95: 535-542), men antistoffene ifølge beskrivelsen er de første der en apoptotisk aktivitet i fravær av stromaceller eller stromaavledede cytokiner, er påvist. Uttrykket ”stroma”, som benyttet her, henviser til det ikke-malignante bærervev av en tumor som inkluderer bindevev, blodkar og inflammatoriske celler. Stromalceller produserer vekstfaktorer og andre stoffer, inkludert cytokiner, som kan påvirke oppførselen for cancerceller. Uttrykket ”cytokin” som benyttet her, henviser til små, utskilte proteiner (for eksempel IL-1, IL-2, IL-4, IL-5 og IL-6, IFNg, IL-3, IL-7 og GM-CSF) som medierer og regulerer immunitet, inflammasjon og hematopoiese. Det er her vist at antistoffene ifølge den kjente teknikk ikke er i stand til å utløse apoptotisk celledød i fravær av stromaceller eller stromaavledede cytokiner. I motsetning til dette viser anti-CD38-antistoffer ifølge beskrivelsen, under de samme betingelser, apoptotiske aktiviteter. Antibodies capable of binding CD38 and inducing apoptotic cell death in CD38<+> cells have been previously described (M. Kumagai et al., 1995, J Exp Med, 181: 1101-1110; E. Todisco et al. 2000, Blood, 95: 535-542), but the antibodies described herein are the first to demonstrate apoptotic activity in the absence of stromal cells or stromal-derived cytokines. The term “stroma,” as used herein, refers to the nonmalignant supporting tissue of a tumor that includes connective tissue, blood vessels, and inflammatory cells. Stromal cells produce growth factors and other substances, including cytokines, that can influence the behavior of cancer cells. The term "cytokine" as used herein refers to small, secreted proteins (e.g., IL-1, IL-2, IL-4, IL-5, and IL-6, IFNg, IL-3, IL-7, and GM-CSF) that mediate and regulate immunity, inflammation, and hematopoiesis. It has been shown herein that the antibodies of the prior art are unable to induce apoptotic cell death in the absence of stromal cells or stromal-derived cytokines. In contrast, anti-CD38 antibodies of the disclosure, under the same conditions, exhibit apoptotic activities.
I nok et aspekt er antistoffene ifølge beskrivelsen i stand til å binde CD38-protein med en kD på 3 x 10<-9 >M eller derunder. In yet another aspect, the antibodies of the disclosure are capable of binding CD38 protein with a kD of 3 x 10<-9 >M or less.
Uttrykket ”CD38”, som benyttet her, henviser til et type II transmembranprotein som omfatter for eksempel en aminosyresekvens som i Genban aksesjonsnr. NP_001766. En ”CD38<+>-celle” er en celle som uttrykker CD38-proteinet. Fortrinnsvis er CD38<+>-cellen en mammalske celle. The term "CD38", as used herein, refers to a type II transmembrane protein comprising, for example, an amino acid sequence as in Genban accession no. NP_001766. A "CD38<+> cell" is a cell that expresses the CD38 protein. Preferably, the CD38<+> cell is a mammalian cell.
CD38<+>-cellen er fortrinnsvis en malign celle. CD38<+>-cellen kan være en B-celle. The CD38<+> cell is preferably a malignant cell. The CD38<+> cell may be a B cell.
Fortrinnsvis er CD38<+>-cellen en tumorcelle avledet fra en hematopoietisk malignans. I en foretrukket utførelsesform er CD38<+>-cellen en lymfomcelle, en leukemicelle eller en multippel myelomcelle. I en ytterligere utførelsesform er CD38<+>-cellen en NHL-, BL-, MM-, B-CLL-, ALL-, TCL-, AML-, HCL-, HL- eller CML-celle. Preferably, the CD38<+> cell is a tumor cell derived from a hematopoietic malignancy. In a preferred embodiment, the CD38<+> cell is a lymphoma cell, a leukemia cell, or a multiple myeloma cell. In a further embodiment, the CD38<+> cell is an NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL, or CML cell.
Det beskrives anti-CD38-antistoffer i stand til å avlive minst 24% av Daudi lymfomceller i fravær av stromaceller eller stroma-avledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til å avlive minst 7% av Ramos-lymfoaceller i fravær av stromaceller eller stromaavledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til avlive minst 11% av MOLP-8 multippel myelomaceller i fravær av stromaceller eller stromaavledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til avlive minst 36% av SU-DHL-8-lymfomceller i fravær av stromaceller eller stroma-avledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til å avlive minst 27% av NU-DUL-1-lymfomceller i fravær av stromaceller eller stroma-avledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til avlive minst 62% av DND-41 leukemiceller i fravær av stroma-celler eller stroma-avledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffer ifølge beskrivelsen i stand til avlive minst 9% av JVM-13 leukemiceller i fravær av stromaceller eller stromaavledede cytokiner. I nok en utførelsesform er anti-CD38-antistoffene ifølge beskrivelsen i stand til å avlive minst 4% av HC-1 leukemiceller i fravær av stromaceller eller stroma-avledede cytokiner. Anti-CD38 antibodies are described capable of killing at least 24% of Daudi lymphoma cells in the absence of stromal cells or stromal-derived cytokines. In another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 7% of Ramos lymphoma cells in the absence of stromal cells or stromal-derived cytokines. In another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 11% of MOLP-8 multiple myeloma cells in the absence of stromal cells or stromal-derived cytokines. In another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 36% of SU-DHL-8 lymphoma cells in the absence of stromal cells or stromal-derived cytokines. In yet another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 27% of NU-DUL-1 lymphoma cells in the absence of stromal cells or stromal-derived cytokines. In yet another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 62% of DND-41 leukemia cells in the absence of stromal cells or stromal-derived cytokines. In yet another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 9% of JVM-13 leukemia cells in the absence of stromal cells or stromal-derived cytokines. In yet another embodiment, the anti-CD38 antibodies of the disclosure are capable of killing at least 4% of HC-1 leukemia cells in the absence of stromal cells or stromal-derived cytokines.
Antistoffer Antibodies
Uttrykket ”antistoff” benyttes her i den bredeste betydning og dekker spesifikt monoklonale antistoffer (inkludert fullengde monoklonale antistoffer) av en hvilken som helst isotype som IgG, IgM, IgA, IgD og IgE, polyklonale antistoffer, multispesifikke antistoffer, kimere antistoffer og antistoffragmenter. Et antistoff som er reaktivt med et spesifikt antigen kan genereres ved rekombinante metoder som seleksjon av bibolioteker av rekombinante antistoffer i fag- eller tilsvarende vektorer, eller ved immunisering av et dyr med antigenet eller en antigenkodende nukleinsyre. The term "antibody" is used herein in its broadest sense and specifically covers monoclonal antibodies (including full-length monoclonal antibodies) of any isotype such as IgG, IgM, IgA, IgD and IgE, polyclonal antibodies, multispecific antibodies, chimeric antibodies and antibody fragments. An antibody reactive with a specific antigen can be generated by recombinant methods such as selection of libraries of recombinant antibodies in phage or similar vectors, or by immunization of an animal with the antigen or an antigen-encoding nucleic acid.
Et typisk IgG-antistoff består av to identiske tunge kjeder og to identiske lette kjeder som er forenet via disulfidbindinger. Hver tunge og lette kjede inneholder et konstant område og et variabelt område. Hvert variable område inneholder tre segmenter som kalles ”komplementaritetsbestemmende områder” (”CDR”) eller ”hypervariable områder”, som primært er ansvarlig for binding av en epitop av et antigen. De angis vanligvis som CDR1, CDR2 og CDR3, nummerert sekvensielt fra N-terminus. De sterkere bevarte deler av de variable områder kalles ”rammeverksområder”. A typical IgG antibody consists of two identical heavy chains and two identical light chains joined by disulfide bonds. Each heavy and light chain contains a constant region and a variable region. Each variable region contains three segments called “complementarity determining regions” (“CDRs”) or “hypervariable regions”, which are primarily responsible for binding an epitope of an antigen. They are usually designated as CDR1, CDR2 and CDR3, numbered sequentially from the N-terminus. The more highly conserved parts of the variable regions are called “framework regions”.
Som benyttet her henviser ”VH” eller ”VH” til de variable områder av en immunoglobulin tungkjede av et antistoff inkludert den tunge kjede av et Fv-, scFv-, dsFv-, Fab-, Fab’- eller F(ab’)2-fragment. Henvisning til ”VL” eller ”VL” henviser til det variable området av den immunoglobulin lette kjede av et antistoff inkludert den lette kjede av et Fv-, scFv-, dsFv-, Fab-, Fab’- eller F(ab’)2-fragment. As used herein, “VH” or “VH” refers to the variable regions of an immunoglobulin heavy chain of an antibody including the heavy chain of an Fv, scFv, dsFv, Fab, Fab’, or F(ab’)2 fragment. Reference to “VL” or “VL” refers to the variable region of the immunoglobulin light chain of an antibody including the light chain of an Fv, scFv, dsFv, Fab, Fab’, or F(ab’)2 fragment.
Et ”polyklonalt antistoff” er et antistoff som ble produsert blant eller i nærvær av et eller flere andre, ikke-identifiserte antistoffer. Generelt blir polyklonale antistoffer dannet fra en B-lymfocytt i nærvær av andre B-lymfocytter som gir ikke-identiske antistoffer. Vanligvis blir polyklonale antistoffer oppnådd direkte fra et immunisert dyr. A “polyclonal antibody” is an antibody that was produced among or in the presence of one or more other, unidentified antibodies. Generally, polyclonal antibodies are produced from a B lymphocyte in the presence of other B lymphocytes that produce non-identical antibodies. Typically, polyclonal antibodies are obtained directly from an immunized animal.
Et ”monoklonalt antistoff”, som benyttet her, er et antistoff som oppnås fra en populasjon av i det vesentlige homogene antistoffer, dvs. at antistoffene som danner denne populasjonen er i det vesentlige identisk, bortsett fra mulige, naturlig forekommende mutasjoner som kan være tilstede i mindre mengder. Disse antistoffer er rettet mot en enkelt epitop og er derfor meget spesifikke. A “monoclonal antibody”, as used herein, is an antibody obtained from a population of substantially homogeneous antibodies, i.e. the antibodies that make up that population are substantially identical, except for possible naturally occurring mutations that may be present in minor amounts. These antibodies are directed against a single epitope and are therefore highly specific.
En ”epitop” er sete for antigenet til hvilket antistoffet binder. Hvis antigenet er en polymer som et protein eller polysakkarid, kan epitopen dannes av tilstøtende rester eller av ikke-tilstøtende rester som er brakt til nærhet ved folding av en antigenisk polymer. I proteiner er epitoper dannet ved tilstøtende aminosyrer typisk bibeholdt ved eksponering til denaturerende oppløsningsmidler, mens epitoper dannet av ikketilstøtende aminosyrer typisk går tapt under nevnte eksponering. An “epitope” is the site on the antigen to which the antibody binds. If the antigen is a polymer such as a protein or polysaccharide, the epitope may be formed by adjacent residues or by nonadjacent residues brought into proximity by folding of an antigenic polymer. In proteins, epitopes formed by adjacent amino acids are typically retained upon exposure to denaturing solvents, while epitopes formed by nonadjacent amino acids are typically lost upon said exposure.
Som benyttet her henviser uttrykket ”KD” til dissosiasjonskonstanten for en spesiell antistoff/antigen interaksjon. As used herein, the term "KD" refers to the dissociation constant for a particular antibody/antigen interaction.
Foreliggende beskrivelse fortsetter fra nye murin anti-CD38-antistoffer, her 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39, som fullt ut karakteriseres med henblikk på aminosyresekvensene for både lette og tunge kjeder, identifisering av CDRene, identifisering av overflate aminosyrene og midler for deres ekspresjon i rekombinant form. Den primære aminosyre og DNA-sekvenser for antistoffer 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-lett og –tungkjeder, og humaniserte versjoner, er beskrevet her. The present disclosure proceeds from novel murine anti-CD38 antibodies, herein 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39, which are fully characterized with respect to the amino acid sequences of both light and heavy chains, identification of the CDRs, identification of the surface amino acids and means for their expression in recombinant form. The primary amino acid and DNA sequences of antibodies 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 light and heavy chains, and humanized versions, are described herein.
Hybridomcellelinjene som produserer 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31-og 38SB39-murin anti-CD38 antistoffer er deponert ved ATCC (10801 University Bld., Manassas, VA, 20110-2209, USA) 21. juni 2006 under depot nr. PTA-7667, PTA-7669, PTA-7670, PTA-7666, PTA-7668 og henholdsvis PTA-7671. The hybridoma cell lines producing the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 murine anti-CD38 antibodies have been deposited with the ATCC (10801 University Bld., Manassas, VA, 20110-2209, USA) on June 21, 2006 under accession numbers PTA-7667, PTA-7669, PTA-7670, PTA-7666, PTA-7668, and PTA-7671, respectively.
Foreliggende beskrivelse er ikke begrenset til antistoffer og fragmenter omfattende disse sekvenser. Således er det beskrevet antistoffer og antistoff-fragmenter som kan skille seg fra antistoff 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 eller humaniserte derivater når det gjelder aminosyresekvensen av deres rammeverkCDRer, lett- og tungkjede. The present disclosure is not limited to antibodies and fragments comprising these sequences. Thus, antibodies and antibody fragments are described which may differ from antibodies 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 or humanized derivatives in the amino acid sequence of their framework CDRs, light and heavy chains.
Foreliggende beskrivelse tilveiebringer antistoffer eller epitopbindende fragmenter derav omfattende en eller flere CDRer med en aminosyresekvens valgt fra gruppen bestående av SEKV ID NR: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 og 36. Som det beskrives omfatter antistoffene minst en tungkjede og minst en lettkjede, og der den tunge kjede omfatter tre sekvensielle CDRer med aminosyresekvenser valgt fra gruppen bestående av SEKV ID NR: 1, 2, 3, 7, 8, 9, 13, 14, 15, 19, 20, 21, 25, 26, 27, 31, 32 og 33, og nevnte lette kjede omfatter tre sekvensielle CDRer med aminosyresekvenser valgt blant gruppen bestående av SEKV ID NR: 4, 5, 6, 10, 11, 12, 16, 17, 18, 22, 23, 24, 28, 29, 30, 34, 35 og 36. The present disclosure provides antibodies or epitope-binding fragments thereof comprising one or more CDRs having an amino acid sequence selected from the group consisting of SEQ ID NOS: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 and 36. As disclosed, the antibodies comprise at least one heavy chain and at least one light chain, and wherein the heavy chain comprises three sequential CDRs having amino acid sequences selected from the group consisting of SEQ ID NOS: 1, 2, 3, 7, 8, 9, 13, 14, 15, 19, 20, 21, 25, 26, 27, 31, 32 and 33, and said light chain comprises three sequential CDRs with amino acid sequences selected from the group consisting of SEQ ID NOS: 4, 5, 6, 10, 11, 12, 16, 17, 18, 22, 23, 24, 28, 29, 30, 34, 35 and 36.
Fortrinnsvis omfatter antistoffene ifølgebeskrivelsen tre CDRer med aminosyresekvenser valgt fra gruppen SEKV ID NR: 13, 14, 15, 16, 17 og 18. I nok en ytterligere, mer foretrukket utførelsesform, tilveiebringes det et 38SB19-antistoff som omfatter minst en tungkjede og minst en lettkjede, og der den tunge kjede omfatter tre sekvensielle CDRer med aminosyresekvenser bestående av SEKV ID NR: 13, 14 og 15, og lette kjeder omfattende tre sekvensielle CDRer med aminosyre-sekvenser bestående av SEKV ID NR: 16, 17 og 18. Preferably, the antibodies of the disclosure comprise three CDRs with amino acid sequences selected from the group of SEQ ID NOS: 13, 14, 15, 16, 17 and 18. In yet another, more preferred embodiment, there is provided a 38SB19 antibody comprising at least one heavy chain and at least one light chain, and wherein the heavy chain comprises three sequential CDRs with amino acid sequences consisting of SEQ ID NOS: 13, 14 and 15, and light chains comprising three sequential CDRs with amino acid sequences consisting of SEQ ID NOS: 16, 17 and 18.
Fortrinnsvis omfatter anti-CD38-antistoffene ifølge beskrivelsen en VL med en ifølge SEKV ID NR: 42. Mer foretrukkent tilveiebringes det et 38SB19-antistoff omfattende en VL med en aminosyresekvens bestående av SEKV ID NR: 42. Preferably, the anti-CD38 antibodies of the disclosure comprise a VL having a sequence according to SEQ ID NO: 42. More preferably, there is provided a 38SB19 antibody comprising a VL having an amino acid sequence consisting of SEQ ID NO: 42.
Det frembringes også antistoffer omfattende etVH med en aminosyresekvens ifølge SEKV ID NR: 54. . Mer foretrukkent form tilveiebringes det et 38SB19-antistoff omfattende en VH med en aminosyresekvens bestående av SEKV ID NR: 54. Antibodies comprising a VH with an amino acid sequence according to SEQ ID NO: 54 are also provided. In a more preferred embodiment, a 38SB19 antibody comprising a VH with an amino acid sequence consisting of SEQ ID NO: 54 is provided.
Kimere og humaniserte 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer Chimeric and humanized 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibodies
Som benyttet her er et ”kimerisk antistoff” et antistoff der det konstante området, eller en del derav, er endret, erstattet eller byttet ut, slik at det variable området er forbundet med et konstant område av en annen spesie, eller hører til en annen antistoffklasse eller –subklasse. ”Kimerisk antistoff” henviser også til et antistoff der det variable området, eller en del derav, er endret, erstattet eller byttet ut, slik at det konstante området er linket til et variabelt område av en annen spesie, eller hører til en annen antistoffklasse eller –subklasse. Metoder for fremstilling av kimere antistoffer er velkjente i teknikken, se for eksempel Morrison, 1985, Science, 229: 1202; Oi et al., 1986, BioTechniques, 4: 214; Gillies et al., 1989, J. Immunol. Methods, 125: 191-202; US patentnr.5 807 715; 4 816 567 og 4816 397. As used herein, a “chimeric antibody” is an antibody in which the constant region, or a portion thereof, has been altered, replaced, or exchanged so that the variable region is linked to a constant region of another species, or belongs to another antibody class or subclass. “Chimeric antibody” also refers to an antibody in which the variable region, or a portion thereof, has been altered, replaced, or exchanged so that the constant region is linked to a variable region of another species, or belongs to another antibody class or subclass. Methods for preparing chimeric antibodies are well known in the art, see, for example, Morrison, 1985, Science, 229: 1202; Oi et al., 1986, BioTechniques, 4: 214; Gillies et al., 1989, J. Immunol. Methods, 125: 191-202; U.S. Patent No. 5,807,715; 4,816,567 and 4,816,397.
I en utførelsesform tilveiebringes det kimere versjoner av 38SB19, . Særlig inneholder de nevnte kimere versjoner minst et humant konstantområde. I en mer foretrukket utførelsesform er dette humane, konstante området det humane IgG1/kappa konstante område. In one embodiment, chimeric versions of 38SB19 are provided. In particular, said chimeric versions contain at least one human constant region. In a more preferred embodiment, said human constant region is the human IgG1/kappa constant region.
Uttrykket ”humanisert antistoff”, som benyttet her, henviser til et kimerisk antistoff som inneholder minimalsekvensen avledet fra ikke-human immunoglobulin. Formålet med humanisering er en reduksjon av immunogenisteten for et xenogenisk antistoff som et murint antistoff, for innføring i et menneske, under opprettholdelse av den fulle antigen bindingsaffiniteten og –spesifisitet for antistoffet. Humaniserte antistoffer, eller antistoffet tilpasset ikke-rejeksjon av andre pattedyr, kan fremstilles ved bruk av forskjellig teknologi som ”resurfacing” og CDR-poding. Som benyttet her, anvender resurfacing teknologien en kombinasjon av molekylær modellering, statistisk analyse og mutagenese for å endre ikke-CDR-overflaten av antistoffvariable områder til å minne om overflater for kjente antistoffer i måleverten. CDR podingsteknologien involverer erstatning av de komplementaritetsbestemmende områder av for eksempel et museantistoff til et humant rammeverksområde, se for eksempel WO 92/22653. The term “humanized antibody”, as used herein, refers to a chimeric antibody that contains minimal sequence derived from non-human immunoglobulin. The purpose of humanization is to reduce the immunogenicity of a xenogeneic antibody, such as a murine antibody, for introduction into a human, while maintaining the full antigen binding affinity and specificity of the antibody. Humanized antibodies, or antibodies adapted for non-rejection by other mammals, can be prepared using various technologies such as “resurfacing” and CDR grafting. As used herein, resurfacing technology uses a combination of molecular modeling, statistical analysis, and mutagenesis to alter the non-CDR surface of antibody variable regions to resemble the surfaces of known antibodies in the target host. CDR grafting technology involves replacing the complementarity determining regions of, for example, a mouse antibody with a human framework region, see, for example, WO 92/22653.
Humaniserte, kimeriske antistoff har fortrinnsvis konstante områder og variable områder andre enn de komplementaritetsbestemmende områder (CDRer) avledet i det vesentlige eller utelukkende fra de tilsvarende humane antistoffområder og CDRer avledet i det vesentlige eller utelukkende fra et pattedyr forskjellig fra et menneske. Humanized, chimeric antibodies preferably have constant regions and variable regions other than the complementarity determining regions (CDRs) derived essentially or exclusively from the corresponding human antibody regions and CDRs derived essentially or exclusively from a mammal other than a human.
Strategier og metoder for resurfacing av antistoffer, og eller metoder for å redusere immunogenisiteten for antistoffer i en forskjellig vert, er beskrevet i US 5639 641. Kort sagt blir i en foretrukken metode Strategies and methods for resurfacing antibodies, and or methods for reducing the immunogenicity of antibodies in a different host, are described in US 5639 641. Briefly, in a preferred method
(1) posisjonsinnretninger av en sammenslåing av antistoff tunge- og –lettekjede variable områder generert for å gi et sett av tung- og lettkjedevariabelt område rammeverks overflateeksponerte posisjoner der innretningsposisjonen for alle variable områder er minst rundt 98% identisk; (1) alignments of a fusion of antibody heavy and light chain variable regions generated to provide a set of heavy and light chain variable region framework surface-exposed positions where the alignment position of all variable regions is at least about 98% identical;
(2) et sett av tung- og lettkjedevariabelt område rammeverksoverflate eksponert aminosyrerester er definert for et gnagerantistoff (eller fragment derav); (2) a set of heavy and light chain variable region framework surface exposed amino acid residues is defined for a rodent antibody (or fragment thereof);
(3) et sett av tung- og lettvariable områder rammeverksoverflate eksponerte aminosyrerester som er nærmest identiske med settet av gnageroverflateeksponerte aminosyrerester er identifisert; (3) a set of heavy and light variable region framework surface exposed amino acid residues that are nearly identical to the set of rodent surface exposed amino acid residues has been identified;
(4) settet av tung- og lettkjedevariabelt område rammeverksoverflate eksponerte aminosyrerester som definert i trinn (2) erstattes med settet av tung- og lettkjedevariabelt område rammeverksoverflateeksponerte aminosyrerester identifisert i trinn (3), bortsett fra de aminosyrerester som ligger innen 5Å fra ethvert atom av enhver rest i de komplementaritetsbestemmende områder av gnagerantistoff; og (4) the set of heavy and light chain variable region framework surface exposed amino acid residues as defined in step (2) is replaced with the set of heavy and light chain variable region framework surface exposed amino acid residues identified in step (3), except for those amino acid residues that are within 5Å of any atom of any residue in the complementarity determining regions of the rodent antibody; and
(5) det humaniserte gnagerantistoff med bindingsspesifisitet, fremstilles. (5) the humanized rodent antibody with binding specificity is prepared.
Antistoffer kan humaniseres ved bruk av et antall andre teknikker inkludert CDR-poding (EP 0239 400, WO 91/09967, US patentnr. 5 530 101 og 5585 089) ”veneering” eller ”resurfacing” (EP 0592 106, EP 0519596, Padlan E. A., 1991, Molecular Immunology 28(4/5): 489-498; Studnicka G. M. et al., 1994, Protein Engineering, 7(6): 805-814; Roguska M.A. et al., 1994, PNAS, 91: 969-973) og kjedeshuffling (US patentnr.5 565 332). Humane antistoffer kan fremstilles ved et antall metoder som velkjent på området, inkludert fag-display metoder, se også US 4 444 887, 4716 111, 5545 806 og 5814 318, samt WO 98/46645, WO 98/50433, WO 98/24893, WO 98/16654, WO 96/34096, WO 96/33735 og WO 91/10741. Antibodies can be humanized using a number of other techniques including CDR grafting (EP 0239 400, WO 91/09967, US Patent Nos. 5,530,101 and 5,585,089) “veneering” or “resurfacing” (EP 0592 106, EP 0519596, Padlan E. A., 1991, Molecular Immunology 28(4/5): 489-498; Studnicka G. M. et al., 1994, Protein Engineering, 7(6): 805-814; Roguska M.A. et al., 1994, PNAS, 91: 969-973) and chain shuffling (US Patent No. 5,565,332). Human antibodies can be produced by a number of methods well known in the art, including phage display methods, see also US 4,444,887, 4,716,111, 5,545,806 and 5,814,318, as well as WO 98/46645, WO 98/50433, WO 98/24893, WO 98/16654, WO 96/34096, WO 96/33735 and WO 91/10741.
Foreliggende beskrivelse beskriver humaniserte antistoffer , som gjenkjenner CD38 og avliver CD38<+>-celler ved apoptose, ADCC og/eller CDC. I en ytterligere utførelsesform er de humaniserte antistoffer eller epitopbindende fragmenter derav i stand til å avlive CD38<+>-celler ved apoptose selv i fravær av stromaceller eller stromaavledede cytokiner. The present disclosure describes humanized antibodies that recognize CD38 and kill CD38<+> cells by apoptosis, ADCC and/or CDC. In a further embodiment, the humanized antibodies or epitope-binding fragments thereof are capable of killing CD38<+> cells by apoptosis even in the absence of stromal cells or stromal-derived cytokines.
En foretrukket utførelsesform av et slikt humanisert antistoff er et 38SB19-antistoff . A preferred embodiment of such a humanized antibody is a 38SB19 antibody.
I en ytterligere foretrukket utførelsesform tilveiebringes det resurfaserte eller humaniserte versjoner av 38SB19-antistoffene der de overflateeksponerte rester av antistoffet eller dettes fragmenter er erstattet i både lette og tunge kjeder for mer å minne om kjente human antistoff-overflater. De humaniserte 38SB19--antistoffer har forbedrede egenskaper. For eksempel gjenkjenner humaniserte 38SB19--antistoffer eller epitopbindende fragmenter derav spesifikt CD38-proteinet. De humaniserte 38SB19--antistoffer har den ytterligere evne til å avlive en CD38<+>-celle, ved apoptose, ADCC og CDC. In a further preferred embodiment, resurfaced or humanized versions of the 38SB19 antibodies are provided in which the surface-exposed residues of the antibody or fragments thereof are replaced in both the light and heavy chains to more closely resemble known human antibody surfaces. The humanized 38SB19 antibodies have improved properties. For example, humanized 38SB19 antibodies or epitope-binding fragments thereof specifically recognize the CD38 protein. The humanized 38SB19 antibodies have the additional ability to kill a CD38<+> cell, by apoptosis, ADCC and CDC.
De humaniserte versjoner av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer er også fult karakterisert her med henblikk på deres respektive aminosyresekvenser for både lett- og tungkjedevariable områder, DNA-sekvensene for genene for lett- og tungkjedevariable områder, identifisering av CDRene, identifisering av deres overflateaminosyrer, beskrivelser av et middel for deres ekspresjon i rekombinant form. The humanized versions of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies are also fully characterized herein with respect to their respective amino acid sequences for both light and heavy chain variable regions, the DNA sequences of the light and heavy chain variable region genes, identification of the CDRs, identification of their surface amino acids, descriptions of a means for their expression in recombinant form.
CDRene av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffene er identifisert ved modellering og deres molekylstrukturer er predikterte. Nok en gang og mens CDRene er viktige for epitopgjenkjennelse, er de ikke vesentlig for antistoffene og fragmentene. I henhold til dette tilveiebringes det antistoffer og fragmenter som har forbedrede egenskaper produsert ved for eksempel affinitetsmodning av et antistoff. The CDRs of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies have been identified by modeling and their molecular structures predicted. Once again, while the CDRs are important for epitope recognition, they are not essential to the antibodies and fragments. Accordingly, antibodies and fragments having improved properties produced by, for example, affinity maturation of an antibody are provided.
Sekvensene for tungkjede- og lettkjedevariable områder av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer og sekvensene av deres CDRer var ikke tidligere kjent og er angitt i foreliggende beskrivelse. Slik informasjon kan benyttes for å fremstille humaniserte versjoner av 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer. Disse humaniserte anti-CD38-antistoffer, eller deres derivater, kan også benyttes som cellebindingsmiddel. The heavy chain and light chain variable region sequences of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibodies and the sequences of their CDRs were not previously known and are disclosed herein. Such information can be used to produce humanized versions of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31, and 38SB39 antibodies. These humanized anti-CD38 antibodies, or their derivatives, can also be used as cell binding agents.
Således tilveiebringes i en utførelsesform en humanisert versjon av 38SB19 omfattende minst en tungkjede og minst en lettkjede, og der nevnte tunge kjede omfatter tre sekvensielle, komplementaritetsbestemmende områder med aminosyresekvenser representert ved SEKV ID NR: 13,14 og 15, og der nevnte lette kjede omfatter tre sekvensielle, komplementaritetsbestemmende områder med aminosyresekvenser representert ved SEKV ID NR.16, 17 og 18. Thus, in one embodiment, a humanized version of 38SB19 is provided comprising at least one heavy chain and at least one light chain, and wherein said heavy chain comprises three sequential, complementarity determining regions with amino acid sequences represented by SEQ ID NOS: 13, 14 and 15, and wherein said light chain comprises three sequential, complementarity determining regions with amino acid sequences represented by SEQ ID NOS: 16, 17 and 18.
I en foretrukket utførelsesform tilveiebringes et humanisert 38SB19-antistoff som omfatter en VH med en aminosyresekvens representert ved SEKV ID NR: 66 In a preferred embodiment, a humanized 38SB19 antibody is provided comprising a VH having an amino acid sequence represented by SEQ ID NO: 66
I en foretrukket utførelsesform tilveiebringes det et humanisert 38SB19-antistoff som omfatter en VL med en aminosyresekvens valgt fra gruppen SEKV ID NR: 62 og 64. De humaniserte 38SB19-antistoffer kan også inkludere substitusjoner i lett- og/eller tungkjede aminosyrerester ved en eller flere posisjoner definert ved de grå rester i Tabell 1A og 1B som representerer de murine overflate rammeverksrester som er forandret fra den opprinnelige murinrest til den tilsvarende rammeverksoverflaterest i det humane antistoff 28E4. De stiplede (*) restene i Tabell 1B tilsvarerer de murine tilbakemutasjoner i den humaniserte 38SB19 tungkjedevariant (SEKV ID NR: 69). Restene for returmutasjoner er proksimale til CDRer og ble valgt som beskrevet i US 5 639 641 eller i analogi til seleksjonen av rester som i tidligere humaniseringsforsøk resulterte i en reduksjon i antigen bindingsaffiniteten (Roguska et al., 1996, US publ. ;2003/0235582 og 2005/0118183). ;;På samme måte kan de humaniserte 38SB13-, 38SB18-, 38SB30-, 38SB31- og 38SB39-antistoffer og epitopbindende fragmenter derav også inkludere substisjon i lett- og/eller tungkjede aminosyrerester. ;;Polynukleotider, vektorer og vertsceller ;Foreliggende oppfinnelse tilveiebringer nukleinsyrer som koder anti-CD38-antistoffer beskrevet heri. I en utførelsesform koder nukleinsyremolekyl en tung og/eller en lettkjede av et anti-CD38-immunoglobulin. I en foretrukket utførelsesform koder en enkelt nukleinsyre en tung kjede av et anti-CD38-immunoglobulin og et annet nukleinsyremolekyl koder den lette kjede av et anti-CD38-immunoglobulin. ;;Det tilveiebringes også polynukleotider som koder polypeptider med en aminosyresekvens valgt fra gruppen bestående av SEKV ID NR: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70 og 72. Polynukleotidene ifølge oppfinnelsen er valgt fra gruppen bestående av SEKV ID NR: 62, 64 og 66. ;;Foreliggende oppfinnelse tilveiebringer vektorer omfattende polynukleotider ifølge oppfinnelsen. I en utførelsesform inneholder vektoren et polynukleotid som koder en tung kjede av et anti-CD38-immunoglobulin. I en annen utførelsesform koder polynukleotid den lette kjede av et anti-CD38-immunoglobulin. Oppfinnelsen tilveiebringer også vektorer omfattende polynukleotidmolekyler som koder fusjonsproteiner, modifiserte antistoffer, antistoffragmenter og prober derav. ;;For å uttrykke den tunge og/eller lette kjede av anti-CD38-antistoffer ifølge beskrivelsen, blir polynukleotiene som koder nevnte tunge og/eller lette kjede skutt inn i ekspresjonsvektorer slik at genene er operativt forbundet til transkripsjonelle og translasjonelle sekvenser. Ekspresjonsvektorer inkluderer plasmider, YACer, kosmider, retrovira, EBV-avledede episomer og alle de andre vektorer som fagmannen vil kjenne som hensiktsmessige for å sikre ekspresjon av nevnte tunge og/eller lette kjeder. ;Fagmannen vil realisere at polynukleotidene som koder de tunge og lette kjeder kan klones inn i forskjellige vektorer eller i samme vektor. I en foretrukket utførelsesform blir disse polynukleotider klonet inn i samme vektor. ;;Polynukleotidene ifølge oppfinnelsen, og vektorer omfattende disse molekyler kan benyttes for transformering av en egnet mammalsk vertscelle. Transformeringen kan skje ved en hvilken som helst kjent metode for innføring av polynukleotider i en vertscelle. Slike metoder er velkjente for fagfolk på området og inkluderer dekstranmediert transformering, kalsiumfosfatpresipitering, polybrenmediert transfeksjon, protoplast fusjon, elektroporering, innkapsling av polynukleotidet i liposomer, biolistisk injeksjon og direkte mikroinjeksjon av DNA inn i kjernen. ;;Antistoffragmenter ;Som benyttet her inkluderer ”antistoffragmenter” en hvilken som helst del av et antistoff som bibeholder evnen til å binde til epitopen gjenkjent av fullengde antistoffet, generelt angitt som ”epitopbindende fragmenter”. Eksempler på antistoffragmenter inkluderer, men er ikke begrenwset til Fab, Fab’ og F(ab’)2, Fd, enkeltkjede Fver (scFv), enkeltkjede antistoffer, disulfidforbundne Fver (dsFv) og fragmenter omfattende enten et VL- eller VH-område. Epitopbindende fragmenter inkludert enkeltkjede antistoffer, kan omfatte det eller de variable områder alene eller i kombinasjon med helheten eller en del av følgende: hengselområde, CH1-, CH2- og CH3-domener. ;;Slike fragmenter kan inneholde en eller begge Fab-fragmenter eller F(ab’)2-fragmentet. Fortrinnvis inneholder antistoffragmenter alle seks CDRer av det hele antistoff, selv om fragmenter inneholder færre enn alle slike områder som tre, fire eller fem CDRer også er funksjonelle. Videre kan fragmentene være per se eller kombinere medlemmer av hvilke som helst av de følgende immunoglobulinklasser: IgG, IgM, IgA, IgD eller IgE, og subklasser derav. ;;Fab og F(ab’)2-fragmenter kan fremstilles ved proteolytisk spalting, ved bruk av enzymer som papain (Fab-fragmenter) og pepsin (F(ab’)2-fragmenter). ;;”Enkeltkjede FVer” (”scFver”) fragmenter er epitopbindende fragmenter som inneholder minst et fragment av et antistoff tungkjedevariabelt område (VH) forbundet med minst et fragment av et antistoff lettkjedevariabelt område (VL). Linkeren kan være et kort, fleksibelt peptid valgt for å sikre at den riktige, tredimensjonale folding av VL- og VH-områdene inntrer når først de er forbundet for å bibeholde målmolekylbindende spesifisitet for hele antistoffet hvorfra enkeltkjede antistoffragmentet er avledet. Karboksylterminus for VL- eller VH-sekvensen kan være kovalent forbundet med en linker til aminosyreterminus av en komplementær VL- eller VH-sekvens. ;;Enkeltkjede antistoffragmenter inneholder aminosyresekvenser med minst en av de variable eller komplementaritetsbestemmende regioner (CDR) av de hele antistoffer som beskrevet i beskrivelsen, men mangler noen av eller alle de konstante domener av disse antistoffer. Disse konstante domener er ikke nødvendige for antigen-binding, men utgjør en hovedandel av strukturen av de hele antistoffer. Enkeltkjede antistoffragmenter kan derfor overvinne noen av problemene assosiert med bruken av antistoffer inneholdende en del av eller alt av et konstant domene. For eksempel har enkeltkjede antistoffragmentene en tendens til å være frie for uønskede interaksjoner mellom biologiske molekyler og det tungkjedekonstante område, eller annen uønsket, biologisk aktivitet. I tillegg er enkeltkjede antistoffragmenter betydelig mindre enn de hele antistoffer, og kan derfor ha en større kapillær permeabilitet enn det hele antistoffet, og tillate at enkeltkjede antistoffragmenter lokaliserer og binder til målantigenbindingsseter på en mer effektiv måte. Videre kan antistoffragmenter produseres i relativt liten målestokk i prokaryotiske celler, noen som letter deres produksjon. Videre gjør den relativt lille størrelse av enkelkjede antistoffragmenter disse mindre sannsynlig til å fremtvinge en immunrespons hos en resipient sammenlignet med hele antistoffer. ;;Enkeltkjede antistoffragmenter kan genereres ved molekylær kloning, antistoff fagdisplay biblioteker eller lignende teknikker som velkjent for fagmannen. Disse proteiner kan fremstilles for eksempel i eukaryotiske celler eller prokaryotiske celler, inkludert bakterier. De epitopbindende fragmenter kan også genereres ved bruk av forskjellige fag-displaymetoder, som velkjent på område. I fag-displaymetoder vil funksjonelle antistoffdomener vist på overflaten av fagpartikkelen som bærer polynukleotidsekvensene som koder dem. Særlig kan en slik fag benyttet for å vise epitopbindende domener uttrykt fra et repertoar eller et kombinatorisk antistoffbibliotek (for eksempel human eller murin). Fag som uttrykker et epitopbindende domene som binder antigenet av interesse kan velges eller identifiseres med antigen, for eksempel ved bruk av merket antigen bundet til eller fanget på en fast overflate eller en kule. Fag som benyttes ved disse metoder er typisk et filamentøst fag inkludert fd- og M13-bindende domener uttrykt fra fag med Fab-, Fv- eller disulfid-stabilsiert Fvantistoffdomener som rekombinant er fusert enten til fag-gen III- eller gen VIII-protein. ;;Eksempler på fag-displaymetoder som kan benyttes for å fremstille de epitopbindende fragmenter, inkluderer de som er beskrevet hos Brinkman et al., 1995, J. Immunol. Methods, 182: 41-50; Ames et al., 1995, J. Immunol. Methods, 184: 177-186; ;Kettleborough et al., 1994, Eur. J. Immunol., 24: 952-958; Persic et al., 1997, Gene, 187: 9-18; Burton et al., 1994, Advances in Immunology, 57: 191-280; ;WO/1992/001047; WO 90/02809; WO 91/10737; WO 92/01047; WO 92/18619; WO 93/11236; WO 95/15982; WO 95/20401; og US patentnr. 5 698 426; 5223 409; 5403 484; 5580 717; 5427 908; 5750 753; 5821 047; 5571 698; 5427 908; 5516 637; 5 780 225; 5658 727; 5733 743 og 5969 108. ;Etter fagseleksjon kan områdene av fagen som koder fragmentene isoleres og benyttes for å generere de epitopbindende fragmenter via ekspresjon hos en valgt vert, inkludert mammalske celler, insektsceller, planteceller, gjær- og bakterier, ved bruk av rekombinant DNA-tekologi, for eksempel som beskrevet i detalj nedenfor. For eksempel kan teknikker for rekombinant å produsere Fab-, Fab’- og F(ab’)2-fragmenter også benyttes ved bruk av metoder som er velkjente og som beskrevet i WO 92/22324; Mullinax et al., 1992, BioTechniques, 12(6): 864-869; Sawai et al., 1995, AJRI, 34: 26-34; og Better et al., 1988, Science, 240:1041-1043. Eksempler på teknikker som kan brukes for å fremstille enkeltkjede Fver og antistoffer inkluderer de som er beskrevet i US patentnr.4 946 778 og 5 258498; Huston et al., 1991, Methods in Enzymology, 203: 46-88; Shu et al., 1993, PNAS, 90: 7995-7999; Skerra et al., 1988, Science, 240:1038-1040. ;;Det beskrives også cytotoksiske konjugater. Disse cytotoksiske konjugater omfatter to primære komponenter, et cellebindende middel og et cytotoksisk middel. ;;Som benyttet her henviser uttrykket ”cellebindende middel” til et middel som spesifikt gjenkjenner og binder CD38-proteinene på celleoverflaten. I en utførelsesform gjenkjenner det cellebindende middel spesifikke CD38 slik at det tillater at konjugatene virker i en målinnrettet modus, med små bivirkninger som resultat av ikke-spesifikk binding. ;;I en annen utførelsesform gjenkjenner cellebindingsmiddelet også spesifikk CD38-proteinet slik at konjugatene vil være i kontakt med målcellen i et tilstrekkelig tidsrom til å tillate at den cytotoksiske medikamentdel av konjugatet virket på cellen, og/eller å gi konjutatene tilstrekkelig tid til å internaliseres av cellen. ;;I en foretrukket utførelsesform omfatter de cytotoksiske konjugater et anti-CD38-antistoff som cellebindingsmiddel antistoff38SB19-, -antistoff er i stand til spesifikt å gjenkjenne CD38 og styrer det cytotoksiske middel til en anormal celle eller vev, slik som cancerceller, på en målrettet måte. ;;Den andre komponent av de cytotoksiske konjugater , er et cytotoksisk middel. ;Uttrykket ”cytotoksisk middel”, som benyttet her, henviser til en substans som reduserer eller blokkerer funksjonen, eller veksten, for celler og/eller forårsaker destruering av celler. ;I foretrukne utførelsesformer er det cytotoksiske middel et lite medikament, et prodrug, et taksoid, et maytansinoid som DM1 eller DM4, et tomaymycinderivat, et leptomycinderivat, CC-1065 eller en CC-1065 analog. I foretrukne utførelsesformer er cellebindingsmiddelet kovalent festet, direkte eller via en spaltbar eller ikke-spaltbar linker, til det cytotoksiske middel. ;;Cellebindingsmidlene, cytotoksiske midler og linkere er diskutert i større detalj nedenfor. ;;Cellebindingsmidler ;Effektiviteten for forbindelsene ifølge beskrivelsen som terapeutiske midler avhenger av de omhyggelige valg av et egnet cellebindingsmiddel. Cellebindingsmidler kan være av en hvilken som helst type som kjent i dag, eller som blir kjent, og inkluderer peptider og ikke-peptider. Cellebindindmiddelet kan være en hvilken som helst forbindelse som kan binde en celle, enten på spesifikk eller ikke-spesifikk måte. Generelt kan disse være antistoffer (særlig monoklonale antistoffer), lymfokiner, hormoner, vekstfaktorer, vitaminer, næringstransportmolekyler (som transferrin), eller et hvilket som helst annet cellebindende molekyl, eller et slikt stoff. ;;Mer spesifikke eksempler på cellebindingsmidler som kan benyttes inkluderer: ;a) polyklonale antistoffer; ;;b) monoklonale antistoffer; ;;c) fragmenter av antistoffer som Fab, Fab’ og F(ab’)2, Fv (Parham, 1983, J. ;Immunol., 131: 2895-2902; Spring et al., 1974, J. Immunol., 113: 470-478; Nisonoff et al., 1960, Arch. Biochem. Biophys., 89: 230-244). ;;Særlig kan et anti-CD38-monoklonalt antistoff valgt blant 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 benyttes som et cellebindingsmiddel. På samme måte kan det nevnte cellebindingsmiddel være en kimer versjon av et av de 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39 monoklonale antistoffer. Fortrinnsvis blir et humanisert anti-CD38-antistoff benyttet som cellebindingsmiddel. Mer spesielt blir det humaniserte anti-CD38-antistoff valgt blant humaniserte eller resurfaced 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer. ;Cytotoksiske midler ;I en ytterligere utførelsesform kan det humaniserte antistoff være konjugert til et medikament som et maytansinoid, for å gi et prodrug med spesifikk cytotoksisitet mot antigenuttrykkende celler ved innsikting av medikament på CD38-proteinet. ;Cytotoksiske konjugater omfattende slike antistoffer og et lite og sterkt toksisk medikament (for eksempel maytansinoider, taksaner, tomaymycinderivater, leptomycinderivater og CC-1065-analoger) kan benyttes som et terapeutikum for behandling av tumorer som lymfom, leukemi og multippel myelom. ;;Det cytotoksiske middel som benyttes i det cytotoksiske konjugat , kan være en hvilken som helst forbindelse som resulterer i død for en celle, eller induserer celledød, eller på en eller annen måte reduserer cellelevedyktigheten. Foretrukne cytotoksiske midler inkluderer for eksempel maytansinoider og maytansinoidanaloger, taksoider, tomaymycinderivater, leptomycinderivater, CC-1065 og CC-1065-analoger, dolastatin og dolastatinanaloger, som definert nedenfor. Disse cytotoksiske midler er konjugert til antistoffene, antistoffragmentene, de funksjonelle ekvivalenter, forbedrede antistoffer og deres analoger som beskrevet her. ;;De cytotoksiske konjugater kan fremstilles ved in vitro-metoder. For å forbinde et medikament eller en prodrug til antistoffet, benyttes en linkergruppe. Egnede linkergrupper er velkjente på området og inkluderer disulfidgrupper, tioetergrupper, syrelabile grupper, fotolabile grupper, peptidaselabile grupper og esteraselabile grupper. Foretrukne linkergrupper er disulfidgrupper og tioetergrupper. For eksempel kan det konstrueres konjugater ved bruk av en disulfid utbyttingsreaksjon eller ved å danne en tioeterbinding mellom antistoffet og medikamentet eller prodruget. ;;Maytansinoider ;Blant de cytotoksiske midler som kan benyttes ifølge beskrivelsen for å gi et cytotoksisk konjugat, er maytansinoider og maytansinoidanaloger. Eksempler på egnede maytansinoider inkluderer maytansinol og maytansinolanaloger. Maytansinoider er medikamenter som inhiberer mikrotubuldannelse, og som er sterkt toksiske mot mammalske celler. ;;Eksempler på egnede maytansinolanaloger inkluderer de med en modifisert aromatisk ring, og de med modifikasjoner på andre posisjoner. Slike egnede maytansinoider er beskrevet i US 4424 219, 4256 746, 4294 757, 4307 016, 4313 943, 4315 929, 4 331 598, 4361 650, 4362 663, 4364 866, 4450 254, 4322 348, 4371 533, ;6 333 410, 5475 092, 5585 499 og 5846 545. ;;Spesifikke eksempler på egnede analoger av maytansinol med en modifisert, aromatisk ring inkluderer: ;;(1) C-19-deklor (US 4256 746) (fremstilt ved LAH-reduksjon av ansamytocin P2); ;;(2) C-20-hydroksy (eller C-20-demetyl) /- C-19-deklor (US 4361 650 og ;4 307 016) (fremstilt ved demetylering ved bruk av Streptomyces eller Actinomyces eller deklorering ved bruk av LAH); og ;;(3) C-20-demetoksy, C-20-acyloksy (-OCOR), /- deklor (US 4294 757) (fremstilt ved acylering ved bruk av acylklorider). ;;Spesifikke eksempler på egnede analoger av maytansinol med modifikasjoner på andre posisjoner inkluderer: ;;(1) C-9-SH (US 4424 219) (fremstilt ved omsetning av maytansinol med H2S eller P2S5); ;;(2) C-14-alkoksymetyl (demetoksy/CH2OR) (US 4331 598); ;;(3) C-14-hydroksymetyl eller acyloksymetyl (CH2OH eller CH2OAc) (US ;4 450 254) (fremstilt fra Nocardia); ;;(4) C-15-hydroksy/acyloksy (US 4364 866) (fremstilt ved konvertering av maytansinol med Streptomyces); ;;(5) C-15-metoksy (US 4313 946 og 4315 929) (isolert fra Trewia nudiflora); ;;(6) C-18-N-demetyl (US 4362 663 og 4322 348) (fremstilt ved demetylering av maytansinol med Streptomyces); og ;(7) 4,5-deoksy (US 4371 533) (fremstilt ved titantriklorid/LAH-reduksjon av maytansinol). ;;I en foretrukket utførelsesform benytter de cytotoksiske konjugater det tiolholdige maytansinoid (DM1), formelt kalt N2’-deacetyl-N2’-(3-merkapto-1-oksopropyl)-maytansin, som cytotoksisk middel. DM1 er representert ved følgende strukturformel (I): ;;;;;;I en annen foretrukket utførelsesform benytter de cytotoksiske konjugater det tiolholdige maytansinoid N2’-deacetyl-N-2’(4-metyl-4-merkapto-1-oksopentyl)-maytansin som cytotoksisk middel. DM4 er representert ved den følgende strukturformel (II): ;;;;;;I ytterligere utførelsesformer kan andre maytansiner inkludert tiol- og disulfidholdige maytansinoider som bærer en mono- eller dialkylsubstituering på karbonatomet som bærer svovelatomet, benyttes. Disse inkluderer et maytansinoid med, på C-3, C-14 hydroksymetyl, C-15 hydroksy eller C-20 desmetyl, en acylert aminosyre sidekjede med en acylgruppe som bærer en hindret sulfhydrylgruppe der karbonatomet i acylgruppen som bærer tiolfunksjonaliteten har en eller to substituenter, og der substituenten er CH3, CH2H5, rett eller forgrenet alkyl eller alkenyl med 1 til 10 karbonatomer, syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk, aromatisk eller heterosykloalkyl rester, og videre der en av substituentene kan være H, og der acylgruppen har en lineær kjedelengde på minst tre karbonatomer, mellom karbonylfunksjonalitet og svovelatomet. ;;Slike ytterligere maytansiner inkluderer forbindelser representert ved formel (III): ;;;;;hvori: ;;Y’ representerer (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r(CΞC)sBt(CR3R4)nCR1 R2SZ, ;;hvori: ;;R1 og R2 hver uavhengig er CH3, C2H5, lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk, aromatisk eller heterosykloalkyl, og i tillegg kan R2 være H; ;;A, B, D er sykloalkyl eller sykloalkenyl med 3 til 10 karbonatomer, enkelt eller substituert aryl eller heterosyklisk, aromat eller heterosykloalkyl; ;R3, R4, R5, R6, R7, R8, R9, R11 og R12 er hver uavhengig H, CH3, C2H5, lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl; ;;l, m, n, o, p, q, r, s og t hver uavhengig er 0 eller et heltall fra 1 til 5, forutsatt at minst to av l, m, n, o, p, q, r, s og t ikke er null noen gang; og ;;Z er H, SR eller -COR, der R er lineær alkyl eller alkenyl med 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, eller enkel eller substituert aryl eller heterosyklisk aroma teller heterosykloalkyl. ;;Foretrukne utførelsesformer av formel (III) inkluderer forbindelser med formel (III), der: ;;R1 er H, R2 er metyl og Z er H; ;R1 og R2 er metyl og Z er H; ;R1 er H, R2 er metyl og Z er –SCH3; ;R1 og R2 er metyl og Z er –SCH3. ;;Slike ytterligere maytansiner inkluderer også forbindelser representert ved formel (IV-L), (IV-D) eller (IV-D,L): ;;;;;;(IV-L) (IV-D) (IV-D,L) ;;der: ;;Y er (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ, ;;der: ;R1 og R2 hver uavhengig er CH3, C2H5, lineær alkyl eller alkenyl med 1 til 10 karboantomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl, og i tillgg kan R2 være H; ;;R3, R4, R5, R6, R7 og R8 hver er uavhengig H, CH3, C2H5, lineær alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbaontomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl; ;;l, m og n hver uavhengig er et heltall fra 1 til 5, og i tillegg n kan være 0; ;;Z er H, SR eller –COR, der R er lineær eller forgrenet alkyl eller alkenyl med fra 1 til 10 karbonatomer, syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, eller enkelt eller substituert aryl, eller heterosyklisk aromat eller heterosykloalkyl; og ;;May representerer et maytansinoid som bærer sidekjeden på C-3, C-14 hydroksymetyl, C-15 hydroksy eller C-20 desmetyl. ;;Foretrukne utførelsesformer av formelene (IV-L), (IV-D) og (IV-D,L) inkluderer forbindelser med formlene (IV-L), (IV-D) og (IV-D,L) der: ;;R1 er H, R2 er metyl, R5, R6, R7 og R8 hver er H, l og m hver er 1, n er 0 og z er H; ;;R1 og R2 er metyl, R5, R6, R7, R8 hver er H, l og m er 1, n er 0 og Z er H; ;;R1 er H, R2 er metyl, R5, R6, R7, R8 hver er H, l og m hver er 1, n er 0 og Z er –SCH3; ;;R1 og R2 er metyl, R5, R6, R7, R8 hver er H, l og m er 1, n er 0 og Z er –SCH3. ;;Fortrinnsvis er det cytotoksiske middel representert ved formel (IV-L). ;Slike ytterligere maytansiner inkluderer også forbindelser representert ved formel (V): ;;;;;;der: ;;Y er (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ, ;;der: ;;R1 og R2 hver uavhengig er CH3, C2H5, lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl, og i tillegg R2 kan være H; ;;R3, R4, R5, R6, R7 og R8 hver uavhengig er H, CH3, C2H5, lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aromat eller heterosykloalkyl; ;;l, m og n hver uavhengig er et heltall fra 1 til 5, og i tillegg n kan være 0; og ;;Z er H, SR eller -COR, der R er lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, eller enkelt eller substituert aryl eller heterosyklisk aroma teller heterosykloalkyl. ;;Foretrukne utførelsesformer av formel (V) inkluderer forbindelser med formel (V), der: ;R1 er H, R2 er metyl, R5, R6, R7 og R8 hver er H; l og m hver er 1; n er 0; og Z er H; ;;R1 og R2 er metyl, R5, R6, R7 og R8 hver er H, l og m er 1; n er 0; og Z er H; ;;R1 er H, R2 er metyl, R5, R6, R7 og R8 hver er H, l og m hver er 1, n er 0 og Z er –SCH3; ;;R1 og R2 er metyl, R5, R6, R7 og R8 hver er H, l og m er 1, n er 0 og Z er –SCH3. ;;Slike ytterligere maytansiner inkluderer videre forbindelser representert ved formelen (VI-L), (VI-D) eller (VI-D,L): ;;;;;(VI-L) (VI-D) (VI-D, L) ;;der: ;;Y2 er (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ2, ;;der: ;;R1 og R2 hver uavhengig er CH3, C2H5, lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aromat eller heterosykloalkyl, og i tillegg R2 kan være H; ;;R3, R4, R5, R6, R7 og R8 hver uavhengig er H, CH3, C2H5, lineært, syklisk alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aromat eller heterosykloalkyl; ;;l, m og n hver uavhengig er et heltall fra 1 til 5, og i tillegg n kan være 0; ;Z2 er SR eller COR, der R er et lineært alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, eller enkelt eller substituert aryl eller heterosyklisk aromat eller heterosykloalkyl; og ;;May er et maytansinoid. ;;Slike ytterligere maytansiner inkluderer også forbindelser representert ved formel (VII): ;;;;;der: ;;Y2’ er (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r (CΞC)sBt(CR3R4)nCR1R2SZ2, ;;der: ;;R1 og R2 hver uavhengig er CH3, C2H5, lineært, forgrenet alkyl eller alkenyl med 1 til 10 karbonatomer, syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl, og i tillegg kan R2 være H; ;;A, B og D hver uavhengig er sykloalkyl eller sykloalkenyl med 3 til 10 karbonatomer, enkel eller substituert aryl, heterosyklisk aromat eller heterosykloalkyl; ;R3, R4, R5, R6, R7, R8, R9, R11 og R12 hver uavhengig er H, CH3, C2H5, lineær alkyl eller alkenyl med 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aromat eller heterosykloalkyl; ;;l, m, n, o, p, q, r, s og t hver uavhengig er 0 eller et helt tall fra 1 til 5, forutsatt at minst to av l, m, n, o, p, q, r, s og t ikke er 0 samtidig; og ;;Z2 er SR eller -COR, der R er lineært alkyl eller alkenyl med 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, eller enkelt eller substituert aryl eller heterosyklisk aromat eller heterosykloalkyl. ;;Foretrukne utførelsesformer inkluderer forbindelser med formel (VII) der R1 er H og R2 is metyl. ;;De ovenfor nevnte maytansinoider kan være konjugert til et anti-CD38 antistoff 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 eller 38SB39 eller en homolog eller et fragment derav, der antistoffet er forbundet til maytansinoidet ved bruk av tiol- eller disulfidfunksjonaliteten som er tilstede på acylgruppen av en acylert amino sidekjede funnet på C-3, C-14 hydroksymetyl, C-15 hydroksy eller C-20 desmetyl av maytansinoidet, og der acylgruppen I den acylerte aminosyre sidekjede har sin tiol- eller disulfidfunksjonalitet lokalisert på et karbonatom som har en eller to substituenter, der disse er CH3, C2H5, lineær alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aromat eller heterosykloalkyl, og i tillegg en av substituentene kan være H, og der acylgruppen har en lineær kjedelengde på minst tre karbonatomer mellom karbonylfunksjonaliteten og svovelatomet. ;Et foretrukket konjugat er et som omfatter anti-CD38 antistoffet 38SB19, konjugert til et maytansinoid med formel (VIII): ;;;;;;der: ;;Y1’ er (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r (CΞC)sBt(CR3R4)nCR1R2S-, ;;der: ;;A, B og D hver uavhengig er sykloalkyl eller sykloalkenyl med 3 til 10 karbonatomer, enkel eller substituert aryl eller heterosyklisk aromat, eller heterosykloalkyl; ;;R3, R4, R5, R6, R7, R8, R9, R11 og R12 hver uavhengig er H, CH3, C2H5, lineær alkyl eller alkenyl med fra 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl; og ;;l, m, n, o, p, q, r, s og t hver uavhengige er 0 eller et heltall fra 1 til 5, forutsatt at minst to av l, m, n, o, p, q, r, s og t ikke er 0 samtidig. ;Det er foretrukket at R1 er H og R2 er metyl eller R1 og R2 er metyl. ;;Et ennå mer foretrukket konjugat er et som omfatter anti-CD38 antistoff 38SB19 konjugert til et maytansinoid med formelen (IX-L), (IX-D) eller (IX-D,L): ;;;;;der: ;;Y1 er (CR7R8)l(CR5R6)m(CR3R4)nCR1R2S-, ;;der: ;;R1 og R2 hver uavhengig er CH3, C2H5, lineært alkyl eller alkenyl med 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl, heterosyklsik aroma teller heterosykloalkyl, og i tillegg R2 kan være H; ;;R3, R4, R5, R6, R7 og R8 hver uavhengig er H, CH3, C2H5, lineært alkyl eller alkenyl med 1 til 10 karbonatomer, forgrenet eller syklisk alkyl eller alkenyl med fra 3 til 10 karbonatomer, fenyl, substituert fenyl eller heterosyklisk aroma teller heterosykloalkyl; ;;l, m og n hver uavhengig er et heltall fra 1 til 5, og i tillegg n kan være 9; og ;;May representerer et maytansinol som bærer sidekjeden på C-3, C-14 hydroksymetyl, C-15 hydroksy eller C-20 desmetyl. ;;Foretrukne utførelsesformer av formlene (IX-L), (IX-D) og (IX-D,L) inkluderer forbindelser med formlene (IX-L), (IX-D) og (IX-D,L) der: ;;R1 er H og R2 er metyl eller R1 og R2 er metyl; ;;R1 er H, R2 er metyl, R5, R6, R7 og R8 hver er H; l og m hver er 0; n er 0; R1 og R2 er metyl; R5, R6, R7 og R8 hver er H; l og m er 1; n er 0. ;;Fortrinnsvis er det cytotoksiske middelet representert ved formel (IX-L). ;;Et ytterligere foretrukket konjugat er et som omfatter anti-CD38 antistoffet 38SB19 konjugert til et maytansinoid med formel (X): ;;;;;;der substituentene er som definert for formel (IX) ovenfor. ;;Spesielt foretrukket er enhver av de ovenfor angitte forbindelser, der R1 er H, R2 er metyl, R5, R6, R7 og R8 hver er H, l og m hver er 1 og n er 0. ;;Ytterligere spesielt foretrukket er en hvilken som helst av de ovenfor beskrevne forbindelser, der R1 og R2 er metyl, R5, R6, R7, R8 hver er H, l og m er 1 og n er 0. ;;Videre er L-aminoacyl stereoisomeren foretrukket. ;;Hver av de maytansinoider som er beskrevet i US søknad 10/84136 av 20. mai, 2004, kan også benyttes i det cytotoksiske konjugatet. ;Disulfidholdige linkergrupper ;For å forbinde maytansinoidet til et cellebindingsmiddel som 28SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- eller 38SB39-antistoffet omfatter maytansinoidet en linkerdel. Denne linkerdel inneholder en kjemisk binding som tillater frigivning av fult aktive maytansinoider på et spesielt sete. Egnede, kjemiske bindinger er velkjente på området og inkluderer disulfidbindinger, syrelabile bindinger, fotolabile bindinger, peptidaselabile bindinger og esteraselabile bindinger. Foretrukket er disulfidbindinger. ;;Linkerdelen omfatter også en reaktiv, kjemisk gruppe. IDen reaktive kjemiske gruppe kan være kovalent bundet til maytansinoidet via en disulfid bindingslinkerdel. ;;Spesielt foretrukne, reaktive kjemiske grupper N-suksinimidylestere og N-sulfosuksinimidylestere. ;;Spesielt foretrukne maytansinoider omfatter en linkerdel som inneholder en reaktiv, kjemisk gruppe og er C-3 estere av maytansinol og dennes analoger der linkerdelen inneholder en disulfidbinding og en kjemisk reaktiv gruppe omfattende en N-suksinimidyl- eller N-sulfosuksinimidylester. ;;Mange posisjoner på maytansinoider kan tjene som posisjon for kjemisk å forbinde linkerdelen. For eksempel er C-3-posisjonen en hydroksylgruppe, C-14-posisjonen modifisert med hydroksymetyl, C-15-poisisjonen modifisert med hydroksy og C-20-posisjonen med en hydroksygruppe, eller ventet å være nyttige. Imidlertid er C-3-posisjonen foretrukket og C-3-posisjonen av maytansinol er spesielt foretrukket. ;;Mens syntesen av estere av maytansinol med en linkerdel er beskrevet uttrykt ved disufldibindingsholdige linkerdeler, vil fagmannen på området forstå at linkerdeler med andre kjemiske bindinger (som beskrevet ovenfor) også kan benyttes på samme måte som andre maytansinoider. Spesifikke eksempler på andre kjemiske bindinger inkluderer syrelabile bindinger, peptidaselabile bindinger og esteraselabile bindinger. Beskrivelsen i US 5208 020 lærer fremstilling av maytansinoider som har slike bindinger. ;;Syntesen av maytansinoider og maytansinoidderivater med en disulfiddel som bærer en reaktiv gruppe er beskrevet i US 6441 163 og 6333 410 samt US søknad 10/161651. ;;Maytansinoider som inneholder den reaktive gruppe som DM1, omsettes med et antistoff som 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- eller 38SB39-antistoff for å gi cytotoksiske konjugater. Disse konjugater kan renses med HPLC eller gelfiltrering. ;Flere utmerkede skjemaer for fremstilling av slike antistoff-maytansinoidkonjugater er tilveiebrakt i US 6333 410 samt i US søknadene 09/867598, 10/161651 og 10/024 290. ;;Generelt kan en oppløsning av et antistoff i vandig buffer inkubere med et molart overskudd av maytansinoid med en disulfiddel som bærer en reaktiv gruppe. ;Reaksjonsblandingen kan kvensjes ved tilsetning av et overskudd av amin (som etanolamin, taurin osv.). Maytansinoid-antistoffkonjugat kan så renses ved gelfiltrering. ;;Antallet maytansinoidmolekyler som er bundet per antistoffmolekyl kan bestemmes ved spektrofotometrisk å måle forholdet mellom absorbans ved 252 nm og 280 nm. Et gjennomsnitt på 1-10 maytansinoidmolekyler per antistoffmolekyl er foretrukket. ;;Konjugater av antistoffer med maytansinoidmedikamenter kan evalueres med henblikk på evne til å undertrykke proliferering av forskjellige uønskede cellelinjer in vitro. For eksempel kan cellelinjer som den humane lymfomcellelinje Daudi, den humane lymfomcellelinje Ramos, den humane multippel myelomcellelinje MOLP-8, og den humant T-akuttlymfocytiske leukemilinje MOLT-4 lett benyttes for bedøvelse av cytotoksisiteten for disse forbindelser. Celler for evaluering kan eksponeres til forbindelsen i 24 timer og de overlevende andeler av celler måles i direkteanalyser på i og for seg kjent måte. IC50-verdier kan så beregnes fra resultatene av disse analyser. ;;PEG-holdige linkergrupper ;Maytansinoider kan også forbindes til cellebindingsmidler ved bruk av PEG-linkergrupper som angitt i US søknad nr.10/024 290. Disse PEG-linkergrupper er oppløselige både i vann og i ikke-vandige oppløsningsmidler, og kan benyttes for å forene et eller flere cytotoksiske midler til et cellebindingsmiddel. Eksempler på PEG-linkergrupper inkluderer heterobifunksjonelle PEG-linkere som binder til cytotoksiske midler, og cellebindingsmidler ved motsatte ender av linkeren via en funksjonell sufhyldryl- eller disulfidgruppe på en ende, og en aktiv ester på den andre ende. ;;Som et generelt eksempel på syntesen av et cytotoksisk konjugat ved bruk av en PEG-linkergruppe, skal det nok en gang henvises til US søknad 10/024290 for spesifikke detaljer. Syntesen begynner med omsetning av et eller flere cytotoksiske midler som bærer en reaktiv PEG-del med et cellebindingsmiddel, noe som resulterer i fortrengning av den terminale, aktive ester av hver reaktive PEG-del, på grunn av en aminosyrerest fra cellebindingsmiddel, og gir derved et cytotoksisk konjugat omfattende et eller flere cytotoksiske midler som kovalent er bundet til et cellebindingsmiddel via en PEG-linkergruppe. ;;Taksaner ;Det cytotoksiske middel som benyttes i de cytotoksiske konjugater ifølge beskrivelsen kan også være et taksan eller et derivat derav. ;;Taksaner er en familie av forbindelser som inkluderer paklitaksel (Taxol), et cytotoksisk naturprodukt, og docetaksel (Taxotere), et semi-syntetisk derivat, to forbindelser som utstrakt benyttes ved behandling av cancer. Taksaner er mitotiske spindelgifter som inhiberer depolymerisering av tubulin og resulterer i celledød. Mens docetaksel og paklitaksel er nyttige middel ved behandling av cancer, er deres antitumoraktivitet begrenset på grunn av deres ikke-spesifikke toksisitet mot normale celler. Videre er forbindelsene som paklitaksel og docetaksel per se ikke tilstrekkelig potente til å benyttes i konjugater av cellebindingsmidler. ;;Et foretrukket taksan for anvendelse ved fremstilling av cytotoksiske konjugater et taksaner med formel (XI): ;;;;;;Metoder for syntetisering av taksaner som kan benyttes i de cytotoksiske konjugater, sammen med metoder for konjugering av taksanene til celle-bindingsmidler som antistoffer, er beskrevet i detalj i US 5416 064, 5475 092, 6340 701, 6372 738 og 6 436 931 samt i US søknadene 10/024290, 10/144042, 10/207814, 10/210112 og 10/369 563. ;Tomaymycinderivater ;De cytotoksiske midler kan også omfatte et tomaymycinderivat. Tomaymycinderivater er pyrrolo[1,4]benzodiazepiner (PBDer), en kjent klasse forbindelser som utøver sine biologiske egenskaper ved kovalent å binde til N2 av guanin i det mindre spor i DNA. PBDer inkluderer et antall mindre sporbindere som antramycin, neotramycin og DC-81. ;;Nye tomaymycinderivater som bibeholder høy cytotoksisitet og som effektivt kan forbindes til cellebindingsmidler er beskrevet i PCT/IB2007/000142. ;Cellebindingsmiddel-tomaymycinderivatkompleksene tillater fult ut den cytotoksiske virkning av tomaymycinderivatene for applikering i innsiktet måte kun mot uønskede celler, og man unngår derved bivirkninger på grunn av skade på ikke-innsiktede, friske celler. ;;Det cytotoksiske middel ifølge beskrivelsen omfatter et eller flere tomaymycinderivater, forbundet til et cellebindingsmiddel som 38SB19--antistoff, via en linkergruppe. Denne er en del av en kjemisk del som kovalent er bundet til et tomaymycinderivat på i og for seg kjent måte. I en foretrukket utførelsesform kan den kjemiske del kovalent bindes til tomaymycinderivatet via en disulfidbinding. ;;Tomaymycinderivatene som er nyttige ifølge beskrivelsen har formel (XII), som vist nedenfor: ;;;;;;der ;;----- representerer en eventuell enkeltbinding; ;;----- representerer enten en enkelt- eller en dobbeltbinding; ;forutsatt at når ----- representerer en enkeltbinding, representerer U og U’, like eller forskjellige, uavhengig H, og W og W’, like eller forskjellige, uavhengig er valgt fra gruppen bestående av OH, en eter som –OR, en ester (for eksempel et acetat) som –OCOR, et karbonat som –OCOOR, et karbamat som –OCONRR’, et syklisk karbamat, slik at N10 og C11 er en del av sykelen, et urea som – NRCONRR’, et tiokarbamat som –OCSNHR, et syklisk tiokarbamat slik at N10 og C11 er en del av sykelen, -SH, et sulfid som –SR, et sulfoksid som –SOR, et sulfon som –SOOR, et sulfonat som –SO3, et sulfonamid som –NRSOOR, et amin som –NRR’, eventuelt syklisk amin slik at N10 og C11 er en del av sykelen, et hydroksylaminderivat som –NROR’, et amid som –NRCOR, et azido som –N3, en cyano-, et halo-, et trialkyl- eller triarylfosfonium-, eller en aminosyreavledet gruppe; fortrinnsvis er W og W’ like eller forskjellige og er OH, Ome, Oet, NHCONH2, SMe; ;;og når ----- er en dobbeltbinding, er U og U’ fraværende og W og W’ representerer H; ;;R1, R2, R1’ og R2’ er like eller forskjellige og uavhengig er valgt blant halid eller alkyl eventuelt substituert med en eller flere Hal, Cn, NRR’, CF3, OR, aryl, Het, S(O)qR, eller R1 og R2 og R1’ og R2’ sammen danner en dobbeltbindingsholdig gruppe =B, henholdsvis =B’; ;;Fortrinnsvis danner R1 og R2 og R1’ og R2’ sammen en dobbeltbindingsholdig gruppe =B henholdsvis =B’; ;;B og B’ er like eller forskjellige og uavhengig valgt blant alkenyl som eventuelt er substituert med en eller flere Hal, CN, NRR’, CF3, OR, aryl, Het, S(O)qR eller B og B’ representerer et oksygenatom; ;;Fortrinnsvis er B=B’. ;;Mer foretrukket er B=B’= =CH2 eller =CH-CH3, ;;X, X’ er like eller forskjellige og uavhengig valgt blant en eller flere av –O-, -NR-, -(C=O)-, -S(O)q-. ;Fortrinnsvis er X=X’. ;;Mer foretrukket er X=X’=O. ;A, A’ er like eller forskjellige og uavhengig valgt blant alkyl eller alkenyl som uavhengig inneholder et oksygen-, nitrogen- eller svovelatom, hvert eventuelt substituert med en eller flere Hal, CN, NRR’, CF3, OR, S(O)qR, aryl, Het, alkyl, alkenyl. ;;Fortrinnsvis er A=A’. ;;Mer foretrukket A=A’=lineær, usubstituert alkyl. ;;Y, Y’ er like eller forskjellige og uavhengig valgt blant H eller OR. ;;Fortrinnsvis er Y=Y’. ;;Helst er Y=Y’=OAlkyl, og spesielt OMetyl. ;;T er –NR-, -O-, -S(O)q- eller en 4- til 10-leddet aryl, sykloalkyl, heterosykel eller heteroaryl, hver eventuelt substituert med en eller flere Hal, CN, NRR’, CF3, R, OR, S(O)qR og/eller en eller flere linkere, eller en forgrenet alkyl, eventuelt substituert med en eller flere Hal, CN, NRR’, CF3, OR, S(O)qR og/eller en eller flere linkere, eller en lineær alkyl substituert med en eller flere Hal, CN, NRR’, CF3, OR, S(O)qR og/eller en eller linkere. ;;Fortrinnsvis er T en 4- til 10-leddet aryl eller heteroaryl, mer spesielt fenyl eller pyridyl, eventuelt substituert med en eller flere linkere. ;;Nevnte linker omfatter en forbindende gruppe. Egnede slike er velkjent i teknikken og inkluderer tiol, sulfid eller disulfidgrupper, tioetergrupper, syrelabile grupper, fotolabile grupper, peptidaselabile grupper og esteraselabile grupper. Foretrukket er disulfidgrupper og tioetergrupper. ;;Når linkergruppen er en tiol-, sulfid- (såkalt tioeter-S-) eller disulfid (-S-S-)-holdig gruppe, kan sidekjeden som bærer tiol-, sulfid- eller disulfidgruppen være rette eller forgrenet, aromatiske eller heterosykliske. Fagmannen på området kan lett identifisere egnede sidekjeder. ;;Fortrinnsvis har linkeren formelen: ;;-G-D-(Z)p-S-Z’ ;;der ;;G er en enkelt- eller dobbeltbinding, -O-, -S- eller –NR-; ;;D er en enkeltbinding eller –E-, -E-NR-, -E-NR-F-, -E-O-, -E-O-F-, -E-NR-CO-, -E-NR-CO-F-, -E-CO-, -CO-E-, -E-CO-F, -E-S-, -E-S-F-, -E-NR-C-S-, -E-NR-CS-F-; ;;der E og F er like eller forskjellige og uavhengig er valgt blant lineær eller forgrenet –(OCH2CH2)iAlkyl(OCH2CH2)j-, -Alkyl(OCH2CH2)i-Alkyl-, -(OCH2CH2)i-, -(OCH2CH2)iSykloalkyl(OCH2CH2)j-, -(OCH2CH2)iHeterosykel(OCH2CH2)j-, -(OCH2CH2)iAryl(OCH2CH2)j-, -(OCH2CH2)iHeteroaryl(OCH2CH2)j-, –Alkyl-(OCH2CH2)iAlkyl(OCH2CH2)j-, -Alkyl-(OCH2CH2)i-, -Alkyl-(OCH2CH2)i-Sykloalkyl(OCH2CH2)j-, -Alkyl(OCH2CH2)iHeterosykel(OCH2CH2)j-, -Alkyl-(OCH2CH2)iAryl(OCH2CH2)j-, -Alkyl(OCH2CH2)iHeteroaryl(OCH2CH2)j-, -Sykloalkyl-Alkyl-, -Alkyl-Sykloalkyl-, -Heterosykel-Alkyl-, -Alkyl-Heterosykel-, -Alkyl-Aryl-, -Aryl-Alkyl-, -Alkyl-Heteroaryl- , -Heteroaryl-Alkyl-; ;;der i og j, like eller forskjellige, er hele tall og uavhengig er valgt blant 0, 1 til 2000; ;;Z er rett eller forgrenet alkyl; ;;p er 0 eller 1; ;;Z’ er H, en tiolbeskyttende gruppe som COR, R20 eller SR20, der R20 er H, metyl, alkyl, eventuelt substituert sykloalkyl, aryl, heteroaryl eller heterosykel, forutsatt at når Z’ er H, er forbindelsen i likevekt med den tilsvarende forbindelse dannet ved intramolekylær ringslutning som resultat av addisjon av tiolgruppen –SH på iminbindingen –NH= av en av PBD-delene; ;n, n’ er like eller forskjellige og er 0 eller 1; ;;q er 0, 1 eller 2; ;;R, R’ er like eller forskjellige og er uavhengig valgt blant H, alkyl, aryl, hver eventuelt substituert med Hal, CN, NRR’, CF3, R, OR, S(O)qR, aryl, Het; ;eller deres farmasøytisk akseptable salter, hydrater eller hydratiserte salter, eller polymorfe, krystallinske strukturer av disse forbindelser, eller deres optiske isomerer, racemater, diastereomerer eller enantiomerer. ;;Forbindelsene med den generelle formel (XII) med geometriske og stereoisomerer er også en del av beskrivelsen. ;;N.10, C-11 dobbeltbindingen i tomaymycinderivatene med formel (XII) er kjent for å være lett konverterbar på reversibel måte til tilsvarende iminaddukter i nærvær av vann, en alkohol, en tiol, et primært eller sekundært amin, urea og andre nukleofiler. Denne prosess er reversibel og kan lett regenerere det tilsvarende tomaymycinderivat i nærvær av et dehydratiseringsmiddel i et ikke-protisk, organisk oppløsningsmiddel, under vakuum eller ved høye temperaturer (Z. Tozuka, 1983, J. Antibiotics, 36: 276). ;;Således kan reversible derivater av tomaymycinderivater med den generelle formel (XIII) også benyttes: ;;;;;;der A, X, Y, n T, A’, X’, Y’, n’, R1, R2, R1’, R2’ er definert som under frmel (XII) og W og W’ er like eller forskjellige og er valgt fra gruppen bestående av OH, en eter som –OR, en ester (for eksempel et acetat) som –OCOR, -COOR, et karbonat som – OCOOR, et karbamat som –OCONRR’, et syklisk karbamat slik at N10 og C11 er en del av sykelen, et urea som –NRCONRR’, et tiokarbmat som –OCSNHR, et syklisk tiokarbamat slik at N10 og C11 er en del av sykelen, -SH, et sulfid som –SR, et sulfoksid som –SOR, et sulfon som –SOOR, et sulfonat som –SO3-, et sulfonamid som –NRSOOR, et amin som –NRR’, eventuelt syklisk amin slik N10 og C11 er en del av sykelen, et hyroksylaminderivat som –NROR’, et amid som –NRCOR, -NRCONRR’, et azido som –NR, en cyano, halo, trialkyl eller triarylfosfonium, en aminosyreavledet gruppe. Fortrinnsvis er W og W’ like eller forskjellige og er OH, Ome, Oet, NHCONH2, SMe. ;;Forbindelser med formel (XIII) kan således anses som solvater som inkluderer vann når oppløsningsmiddelet er vann, disse solvater kan være spesielt nyttige. ;I en foretrukket utførelsesform er tomaymycinderivatene ifølge oppfinnelsen valgt fra gruppen omfattende: ;;8,8’-[1,3-benzendiylbis(metyleneoksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11atetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-metoksy-1,3-benzendiylbis(metylenoksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[1,5-pentandiylbis(oksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[1,4-butandiylbis(oksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[3-metyl-1,5-pentandiylbis(oksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11atetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[2,6-pyridinediylbis(oksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11atetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[4-(3-tert-butoksykarbonylaminopropyloksy)-2,6-pyridindiylbis-(metylenoksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]-benzodiazepin-5-on]; ;;8,8’-[5-(3-aminopropyloksy)-1,3-benzendiylbis(metylenoksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; 8,8’-[5-(N-metyl-3-tert-butoksykarbonylaminopropyl)-1,3-benzendiylbis-(metylenoksy)]-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-{5-[3-(4-metyl-4-metyldisulfanylpentanoylamino)propyloksy]-1,3-benzendiylbis-(metylenoksy)}-bis[(S)-2-et-(E)-yliden-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-acetyltiometyl-1,3-benzendiylbis(metylenoksy)]-bis[(S)-2-metylen-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;bis-{2-[(S)-2-metylen-7-metoksy-5-okso-1,3,,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]-benzodiazepin-8-yloksy]-etyl}-karbaminsyre-tert-butylester; ;;8,8’-[3-(2-acetyltioetyl)-1,5-pentandiylbis(oksy)]-bis[(S)-2-metylen-7-metoksy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-(N-4-merkapto-4,4-dimetylbutanoyl)amino-1,3-benzendiylbis(metylenoksy)]-bis[7-metoksy-2-metylen-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-(N-4-metylditio-4,4-dimetylbutanoyl)-amino-1,3-benzendiylbis(metylenoksy)]-bis[7-metoksy-2-metylen-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-(N-metyl-N-(2-merkapto-2,2-dimetyletyl)amino-1,3-benzendiyl(metylenoksy)]-bis[7-metoksy-2-metylen-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[5-(N-metyl-N-(2-metylditio-2,2-dimetyletyl)amino-1,3-benzendiyl(metylenoksy)]-bis[7-metoksy-2-metylen-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(4-(2-(4-merkapto-4-metyl)-pentanamidoetoksy)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;8,8’-[(1-(2-(4-metyl-4-metyldisulfanyl)-pentanamidoetoksy)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]-benzodiazepin-5-on]; ;;8,8’-[(4-(3-(4-metyl-4-metyldisulfanyl)-pentanamidopropoksy)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4] benzodiazepin-5-on]; ;8,8’-[(4-(4-(4-metyl-4-metyldisulfanyl)-pentanamidobutoksy)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]-benzodiazepin-5-on]; ;;8,8’-[(4-(3-[4-(4-metyl-4-metyldisulfanylpentanoyl)-piperazin-1-yl]-propyl)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(1-(3-[4-(4-metyl-4-metyldisulfanylpentanoyl)-piperazin-1-yl]-propyl)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(4-(2-{2-[2-(4-metyl-4-metyldisulfanylpentanoylamino)-etoksy]-etoksy}-etoksy)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(1-(2-{2-[2-(2-{2-[2-(4-metyl-4-metyldisulfanylpentanoylamino)-etoksy]-etoksy}-etoksy)-etoksy]-etoksy}-etoksy)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(1-(2-{2-[2-(4-metyl-4-metyldisulfanylpentanoylamino)-etoksy]-etoksy}-etoksy)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(4-(2-{2-[2-(2-{2-[2-(4-metyl-4-metyldisulfanylpentanoylamino)-etoksy]-etoksy}-etoksy)-etoksy]-etoksy}-etoksy)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; 8,8’-[(1-(2-[metyl-(2-metyl-2-metyldisulfanylpropyl)-amino]-etoksy)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydro-pyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(4-(3-[metyl-(4-metyl-4-metyldisulfanylpentanoyl)-amino]-propyl)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;8,8’-[(4-(3-[metyl-(2-metyl-2-metyldisulfanylpropyl)-amino]-propyl)-pyridin-2,6-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on]; ;;8,8’-[(1-(4-metyl-4-metyldisulfanyl)-pentanamido)-benzen-3,5-dimetyl)-dioksy]-bis[(S)-2-et-(E)-yliden-7-dimetoksy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepin-5-on] ;;såvel vel som de tilsvarende merkaptoderivater, eller deres farmasøytisk akseptable salter, hydrater eller hydratiserte salter, eller de polymorfe, krystallinske strukturer av disse forbindelser, eller deres optiske isomerer, racemater, diastereomerer eller enantiomerer. ;;Foretrukne forbindelser er de med formelen: ;;;;;eller ;;;;;;der X, X’, A, A’, Y, Y’ ̈, T, n, n’ er som angitt ovenfor. ;;Forbindelsene med formel (XII) kan fremstilles på et antall måter som er velkjente for fagfolk. Forbindelsene kan syntetiseres for eksempel ved anvendelse eller tilpasning av metoder som beskrevet nedenfor, eller variasjoner av disse slik fagmannen vil vite. De egnede modifikasjoner og substitusjoner vil være lett åpenbare og velkjent eller kan lett oppnås fra den vitenskapelige litteraturen, for fagmannen på området. Særlig kan slike metoder finnes i R.C. Larock, Comprehensive Organic Transformations, Wiley-VCH Publishers, 1999. ;;Metoder for syntetisering av tomaymycinderivater som kan benyttes, er beskrevet i PCT/IB2007/000142. Forbindelser ifølge beskrivelsen kan fremstilles ved et antall synteseveier. Reagensene og utgangsmaterialene er kommersielt tilgjengelige, eller kan lett syntetiseres på i og for seg kjent teknikk som fagmannen vil kjenne (se for eksempel WO 00/12508, WO 00/12507, W0 2005/040170, WO 2005/085260, FR1516743, M. Mori et al., 1986, Tetrahedron, 42: 3793-3806). ;;Konjugatmolekylene ifølge beskrivelsen kan dannes ved bruk av en hvilken som helst teknikk. Tomaymycinderivatene kan forbindes til et antistoff eller annet cellebindende middel via en syrelabil linker, eller via en fotolabil linker. Derivatene kan kondenseres med et peptid med en egnet sekvens og deretter likes til et cellebindende middel for å gi en peptidaselabil linker. Konjugatene kan fremstilles til å inneholde en primær hydroksylgruppe som kan suksinylere og forbindes til et cellebindende middel for å gi et konjugat som kan spaltes ved intracellulære esteraser for å frigjøre fritt derivat. ;Fortrinnsvis blir derivatene syntetisert til å inneholde en fri eller beskyttet tiolgruppe, og deretter blir en eller flere disulfid- eller tiolholdige derivater hver kovalent forbundet med det cellebindende middel via en disulfidbinding eller en tioeterlink. ;;Tallrike metoder for konjugering er beskrevet i US 5416 064 og 5475 092. ;Tomaymycinderivatene kan modifiseres for å gi en fri aminogruppe og så forbindes til et antistoff eller et annet cellebindende middel via en syrelabil linker eller en fotolabil linker. Tomaymycinderivatene med en fri amino- eller karboksylgruppe, kan kondenseres med et peptid og deretter forbindes til et cellebindende middel for å gi en peptidaselabil linker. Tomaymycinderivatene med en fri hydroksylgruppe på linkeren kan suksinyleres og forbindes til et celelbindende middel for å gi et konjugat som kan spaltes ved intracellulære esteraser for å sette fri fritt medikament. Helst blir tomaymycinderivatene behandlet for å danne en fri eller beskyttet tiolgruppe, hvoretter de disulfid- eller tiolholdige tomaymycindimerer forbindes til det cellebindende middel via disulfidbindinger. ;Fortrinnsvis er monoklonale antistoff- eller cellebindingsmiddel-tomaymycindervatkonjugater de som er forenet via en disulfidbinding som beskrevet ovenfor, som er i stand til å avlevere tomaymycinderivater. Slike cellebindingskonjugater fremstilles på i og for seg kjent måte som ved modifisering av monoklonale antistoffer med suksinimidylpyridyl-ditiopropionat (SPDP) (Carlsson et al., 1978, Biochem. J., 173: 723-737). Den resulterende tiopyridylgruppe fortrenges så ved behandling med tiolholdige tomaymycinderivater for å gi disulfidlinkede konjugater. Alternativt, og når det gjelder arylditio-tomaymycinderivater, blir dannelsen av det cellebindende konjugat gjennomført ved direkte fortrengning av aryl-tiol i tomaymycinderivatet med sulfhydrylgrupper som å forhånd er innført i antistoffmolekyler. Konjugater inneholdende 1 til 10 tomaymycinderivater som er forbundet via en disulfidbro kan lett fremstilles ved disse metoder. ;;Mer spesielt blir en oppløsning av det ditio-nitropyridylmodifiserte antistoff ved en konsentrasjon på 2,5 mg/ml i 0,05 M kaliumfosfatbuffer, ved pH 7,5 inneholdende 2 mM EDTA, behandlet med det tiolholdige tomaymycinderivat (1,3 molare ekvivalenter per diotiopyridylgruppe). Frigivningen av tio-nitropyridinet fra det modifiserte antistoff følges spektrofotometrisk ved 325 nm og er ferdig i løpet av ca.16 timer. Antistofftomaymycinderivatkonjugatet renses og befries for ikke-omsatt medikament og annet lavmolekylvektsmateriale ved gelfiltrering gjennom en kolonne av Sephadex G-25 eller Sephacryl S300. Antallet tomaymycinderivatdeler som er bundet per antistoffmolekyl kan bestemmes ved å måle forholdet mellom absorbansen ved 230 nm og 275 nm. Et gjennomsnitt på 1-10 tomaymycinderivatmolekyler per antistoffmolekyl kan forbindes via disulfidbindinger ved denne metode. ;;Effekten av konjugering på bindingsaffiniteten mot de antigenuttrykkende celler, kan bestemmes ved bruk av de metoder som tidligere er beskrevet av Liu et al., 1996, Proc. Natl. Acad. Sci. U.S.A., 93: 8618-8623. Cytotoksisiteten for tomaymycinderivatene og deres antistoffkonjugater mot cellelinjer kan males ved tilbake-ekstrapolering av celleprolifereringskurver som beskrevet hos Goldmacher et al., 1985, J. Immunol., 135: 3648-3651. Cytotoksisiteten for disse forbindelser til adherente cellelinjer kan bestemmes ved klonogeniske analyser som beskrevet hos Goldmacher et al., 1986, J. Cell Biol., 102: 1312-1319. ;;Leptomycinderivater ;Det cytotoksiske middel ifølge beskrivelsen kan også omfatte et leptomycinderivat. ;”Leptomycinderivater” henviser til medlemmer av leptomycinfamilien som definert hos Kalesse et al. (2002, Synthesis 8: 981-1003) og inkluderer: leptomyciner som laptomycin A og leptomycin B, kallystatiner, ratjadoner som ratjadon A og ratjadon B, anguinomyciner som anguinomycin A, B, C, D, kasusamyciner, leptolstatin, leptofuraniner som leptofuranin A, B, C, D. Derivater av leptomycin A og B er foretrukket. ;;Mer spesielt har derivatene formel (I): ;;;;;der ;;Ra og Ra’ er H eller –Alk; det er foretrukket at Ra er –Alk, og særlig metyl og Ra’ er H; ;;R17 er alkyl som eventuelt er substituert med OR, CN, NRR’ eller perfluoralkyl; fortrinnsvis er R17 alkyl, og mer spesielt metyl eller etyl; ;;R9 er alkyl eventuelt substituert med OR, CN, NRR’, perfluoralkyl; fortrinnsvis er R9 alkyl, og mer spesielt metyl; ;;X er –O- eller –NR, og det er foretrukket et X er –NR-; ;;Y er –U-, -NR-U-, -O-U-, -NR-CO-U-, -U-NR-CO-, -U-CO-, -CO-U- ; ;foretrukket er, når X er –O-, Y er –U-, -NR-U-, -U-NR-CO-; ;;der U er valgt fra rett eller forgrenet –Alk-, -Alk(OCH2CH2)m-, -(OCH2CH2)m-Alk-, -Alk(OCH2CH2)m-Alk-, -(OCH2CH2)m-, -Sykloalkyl-, -Heterosykel-, -Sykloalkyl-Alk-, -Alk-Sykloalkyl-, -Heterosykel-Alk-, -Alk-Heterosykel-; ;;der m er et heltall valgt blant 1 til 2000; ;fortrinnsvis er U lineær eller forgrenet –Alk-; ;;Z er –Alk-; ;;n er 0 eller 1, og foretrukket er n 0; ;;T er H, en tiolbeskyttende gruppe som Ac, R1 eller SR1, der R1 er H, metyl, Alk, sykloalkyl, eventuelt substituert aryl eller heterosykel, eller T representerer ;;;;;der: ;;Ra, Ra’, R17, R9, X, Y, Z og n er som angitt ovenfor; ;;fortrinnsvis er T H eller SR1, der R1 er Alk, og mer spesielt metyl; ;;R og R’ er like eller forskjellige og er H eller alkyl; ;;Alk er rett eller forgrenet alkyl, fortrinnsvis representerer Alk (-(CH2-q(CH2)q)p-, der p er et heltall fra 1 til 10; og q et heltall fra 0 til 2; fortrinnsvis representerer Alk –(CH2)-eller –C(CH3)2-; ;;eller deres farmasøytisk akseptable salter, hydrater eller hydratiserte salter, eller polymorfe, krystallinske strukturer av disse forbindelser, eller deres optiske isomerer, racemater, diastereomerer eller enantiomerer. ;;Foretrukne forbindelser kan velges blant: ;;(2-Metylsulfanyletyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5, 7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre; ;Bis-[(2-merkaptoetyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5, 7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre]; ;;(2-Merkaptoetyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5,7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre; ;;(2-Metyldisulfanyletyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5, 7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre; ;;(2-Metyl-2-metyldisulfanylpropyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5,7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre; ;;(2-Merkapto-2-metylpropyl)-amid av (2E,10E,12E,16Z,18E)-(R)-6-hydroksy-3,5,7,9,11,15,17-heptametyl-19-((2S,3S)-3-metyl-6-okso-3,6-dihydro-2H-pyran-2-yl)-8-okso-nonadeka-2,10,12,16,18-pentaensyre ;;eller deres farmasøytisk akseptable salter, hydrater eller hydratiserte salter, eller de polymorfe, krystallinske strukturer av disse forbindelser eller deres optiske isomerer, racemater, diastereomerer eller enantiomerer. ;;For å forbinde derivater til et cellebindende middel, må derivatet inkludere en del (en linkergruppe) som tillater at derivatet kan forbindes med et cellebindingsmiddel via en linker som en disulfidbinding, en sulfid (eller her halt tioeter)binding, en syrelabil gruppe, en fotolabil gruppe, en peptidaselabil gruppe, eller en esteraselabil gruppe. Derivatene fremstilles slik at de inneholder en del som er nødvendig for å forbinde leptomycinderivater til et cellebindingsmiddel via for eksempel en disulfidbinding, en tioeterbinding, en syrelabil gruppe, en fotolabil gruppe, en peptidaselabil gruppe eller en esteraselabil gruppe. For videre å øke oppløseligheten i vandige oppløsninger, kan linkergruppen inneholde en poyletylenglykol spacer. Fortrinnsvis benyttes en sulfideller disulfid-linker fordi den reduserende omgivelse for målcellen resulterer i spalting av sulfidet eller disulfidet, og frigjør derivatene med en assosiert økning i cytotoksisitet. ;Forbindelser ifølge beskrivelse kan fremstilles via et antall synteseveier. Reagenser og utgangsmaterialer er kommersielt tilgjengelige, eller lett syntetiserbare via velkjente teknikker for fagmannen. Metoder for syntetisering av leptomycinderivater som kan benyttes i de cytotoksiske konjugater, sammen med metoder for konjugering av nevnte leptomycinderivater til cellebindingsmidler som antistoffer, er beskrevet i detalj i EP søknad 06290948.6. ;;CC-1065-analoger ;Det cytotoksiske middel som benyttes i de cytotoksiske konjugater ifølge beskrivelsen kan også være CC-1065 eller et derivat derav. ;;CC-1065 er et potent antitumor antibiotikum som er isolert fra kulturbuljongen av Streptomyces zelensis. CC-1065 er rundt 1000 ganger mer potent in vitro enn vanligvis benyttede anti-cancermidler som doksorubicin, metotreksat og vinkristin (B.K. Bhuyan et al., 1982, Cancer Res., 42, 3532-3537). CC-1065 og dennes analoger er beskrevet i US 6372 738, 6340 701, 5846 545 og 5585 499. ;;Den cytotoksiske potens for CC-1065 er korrelert med dens alkylerende aktivitet og dens DNA-binding eller DNA-interkalerende aktivitet. Disse to aktiviteter ligger i separate deler av molekylet. Således er alkyleringsaktiviteten å finne i syklopropapyrroloindol (CPI) subenheten, og DNA-bindingsaktiviteten ligger i de to pyrroloindol subenheter. ;;Selv om CC-1065 har visse attraktive trekk som cytotoksisk middel, har forbindelsen begrensninger ved terapeutisk anvendelse. Administrering av CC-1065 til mus forårsaker en forsinket hepatotoksisitet som førte til mortalitet på dag 50 etter en enkelt intravenøs dose på 12,5 µg/kg (V. L. Reynolds et al., 1986, J. Antibiotics, XXIX: 319-334). Dette har iverksatt forsøk på utvikle analoger som ikke forårsaker forsinket toksisitet, og syntesen av enklere analoger modellert på CC-1065 er beskrevet (M.A. Warpehoski et al., 1988, J. Med. Chem., 31: 590-603). ;;I en annen serie av analoger ble CPI-delen erstattet av en syklopropabenzindol (CBI) del (D.L. Boger et al., 1990, J. Org. Chem., 55: 5823-5833; D.L. Boger et al., 1991, BioOrg. Med. Chem. Lett., 1: 115-120). Disse forbindelser opprettholder den høye in vitro-potens for parentalmedikament uten å forårsake forsinket toksisitet hos mus. På samme måte som i CC-1065, er disse forbindelser alkyleringsmidler som binder til det mindre spor i DNA på kovalent måte og forårsaker celledød. Imidlertid har klinisk evaluering av de mest lovende analoger, adozelesin og karzelesin ført til skuffende resultater (B.F. Foster et al., 1996, Investigational New Drugs, 13: 321-326; I. Wolff et al., 1996, Clin. Cancer Res., 2: 1717-1723). Disse medikamenter viser dårlige terapeutiske effekter på grunn av den høye systemisk toksisitet. ;;Den terapeutiske effektivitet for CC-1065 analoger kan forbedres sterkt ved å endre in vivo-fordeling via målrettet avlevering til tumorsetet, noe som resulterer i lavere toksisitet mot ikke-tilsiktet vev, og derved lavere systemisk toksisitet. For å oppnå dette formål, er det beskrevet konjugater av analoger og derivater av CC-1065 med cellebindende midler som spesifikt sikter på tumorceller (US 5475 092, 5585 499, 5 846 545). Disse konjugater viser typisk høy målspesifikk cytotoksisitet in vitro, og eksepsjonell anti-tumor aktivitet i human tumor xenograftmodeller i mus (R.V. J. Chari et al., 1995, Cancer Res., 55: 4079-4084). ;;I den senere tid er det beskrevet prodrugs av CC-1065-analoger med forbedret oppløselighet i vandig medium (EP 06290379.4). I disse prodrugs er den fenoliske gruppe av alkyleringsdelen i molekylet beskyttet med en funksjonalitet som gjør medikamentet stabilt ved lagring i sur, vandig oppløsning, og gir øket vannoppløselighet til medikamentet sammenlignet med en ubeskyttet analog. Den beskyttende gruppe kan lett spaltes av in vivo ved fysiologisk pH-verdi for å gi det tilsvarende, aktive medikament. I de prodrugs som er beskrevet i EP 06290379.4, er den fenoliske substituent beskyttet som et sulfonsyreholdig fenylkarbamat som har en ladning med fysiologisk pH-verdi, og derfor har forbedret vannoppløselighet. For ytterligere å forbedre vannoppløseligheten kan en eventuell polyetylenglykol spacer innføres i linkeren mellom indolyl subenheten og den spaltbare binding som en disulfidgruppe. Innføringen av denne spacer endrer ikke mediakmentets potens. ;;Metoder for syntetisering av CC-1065-analoger som kan benyttes i de cytotoksiske konjugater, sammen med metoder for konjugering av analoger til cellebindingsmidler som antistoff, er beskrevet i detalj i EP 06290379.4, i US 5475 092, 5846 545, 5 585 499, 6534 660 og 6586 618 og i US søknadene 10/116053 og 10/265452. ;Andre medikamenter ;Medikamentet som metotreksat, daunorubicin, doksorubicin, vinkristin, vinblastin, melfalan, mitomycin C, klorambucil, kalicheamicin, tubulysin og tubulysinanaloger, duokarmycin og duokarmycinanaloger, dolastatin og dolastatinanaloger er også egnet for fremstilling av konjugater. Medikamentmolekylene kan også forbindes med antistoffmolekylene via et mellomliggende bærermolekyl som serum-albumin. ;Doksarubicin- og danorubicinforbindelser som for eksempel beskrevet i US SN 09/740991, kan også være nyttige cytotoksiske midler. ;;Terapeutiske preparater ;Det beskrives også et terapeutisk preparat for behandling av en hyperproliferativ forstyrrelse, eller inflammatorisk sykdom eller en autoimmun sykdom i et pattedyr, omfattende en terapeutisk effektiv mengde av en forbindelse ifølge beskrivelsen, og en farmasøytisk akseptabel bærer. I en utførelsesform er det farmasøytiske preparat ment for behandling av cancer inkludert (men ikke begrenset til) B-celle lymfom, og multippelt myelom. ;Foreliggende beskrivelse beskriver farmasøytiske preparater som omfatter: ;;a) en effektiv mengde av et antistoffeller et antistoffkonjugat, og ;;b) en farmasøytisk akseptabel bærer som kan være inert eller fysiologisk aktiv. ;;Som benyttet her inkluderer ”farmasøytisk akseptable bærere” ethvert og alle oppløsningsmidler, dispergeringsmedier, belegg, antibakterielle og antifungale midler og lignende som er fysiologisk kompatible. Eksempler på egnede bærere, diluenter og/eller eksipienter inkluderer en eller flere av vann, saltoppløsning, fosfatbufret saltoppløsning, dekstrose, glyserol etanol og lignende, så vel som kombinasjoner derav. I mange tilfeller vil det være foretrukket å inkludere isotoniske midler som sukkere, polyalkoholer eller natriumklorider, i preparater. Særlig relevante eksempler på egnede bærere inkluderer: (1) Dulbeccos fosfatbufrede saltoppløsning, pH ~7,4, eventuelt inneholdende rundt 1 mg/ml til 25 mg/ml human serumalbumin, (2) 0,9% saltoppløsning (0,9% vekt/volum natriumklorid)) og (3) 5% (vekt/volum) dekstrose; og kan også inneholde en antioksidant som tryptamin og et stabiliseringsmiddel som Tween 20. ;De her beskrevne preparater kan også inneholde et ytterligere terapeutisk middel, hvis nødvendig for den spesielle forstyrrelse som behandles. Fortrinnsvis vil antistoffet eller antistoffkonjugatet ifølge beskrivelsen, og den supplementære, aktive forbindelse ha komplementære aktiviteter som ikke ugunstig påvirker hverandre. I en foretrukket utførelsesform er det ytterligere terapeutiske middelet en antagonist av epidermal vekstfaktor (EGF), fibroblast vekstfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær, endotelial vekstfaktor (VEGF), eller en antagonist av en reseptor for epidermal vekstfaktor (EGF), fibroblast vesktfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær, endotelial vekstfaktor (VEGF), inkludert HER2-reseptor, HER3-reseptor, c-MET og andre reseptortyrosinkinaser. I en foretrukket utførelsesform er det ytterligere, terapeutiske middel et middel som sikter på clustere av differensierings (CD) antigener, inkludert CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 og CD152. I en foretrukket utførelsesform er det ytterligere terapeutiske middel et kjemoterapeutisk eller immunomodulatorisk middel. ;;Preparatene kan foreligge i et antall former. Disse inkluderer for eksempel flytende, halvfaste eller faste doseringsformer, men den foretrukne form avhenger av den tilsiktede administreringsmåte og terapeutiske applikasjoner. Typisk foretrukne preparater foreligger i form av injiserbare eller infuserbare oppløsninger. Den foretrukne administreringsmåte er parenteral (for eksempel intravenøs, intramuskulær, intraperitoneal, subkutan) administrering. I en foretrukket utførelsesform blir preparatene administrert intravenøst som en bolus eller ved kontinuerlig infusjon over et tidsrom. I en annen foretrukket utførelsesform blir de injisert via intramuskulær, subkutan, intra-artikulær, intrasynovial, intratumoral, peritumoral, intralesjonal eller perilesjonal vei for å utøve lokale så vel som systemisk terapeutiske effekter. ;;Sterile preparater for parenteral administrering kan fremstilles ved å innarbeide antistoffeteller antistoffkonjugat, i den nødvendige mengde av det egnede oppløsningsmiddel, fulgt av sterilisering ved mikrofiltrering. Som oppløsningsmiddel eller vehikkel, kan det benyttes vann, saltoppløsning, fosfatbufret saltoppløsning, dekstrose, glyserol, etanol og lignende, så vel som kombinasjoner derav. I mange tilfeller vil det være foretrukket å inkludere isotoniske midler som sukkere, polyalkoholer eller natriumklorid, i preparatet. Disse preparater kan også inneholde adjuvanter og særlig fukte-, isotoniserende-, emulgerings-, dispergerings- og stabiliseringsmidler. Sterile preparater for parenteral administrering kan også fremstilles i form av sterile, faste preparater som kan oppløses på brukstidspunktet i sterilt vann, eller et hvilket som helst annet, injiserbart, sterilt medium. ;;Antistoffet eller antistoffkonjugatet kan også administreres oralt. Som faste preparater for oral administrering, kan det benyttes tabletter, piller, pulvere (gelatinkapsler, poser) eller grauler. I disse preparater blir den aktive bestanddel blandet med en eller flere inerte diluenter som stivelse, cellulose, sukkrose, laktose eller silika, under en argonstrøm. Disse preparater kan også omfatte substanser andre enn diluenter, for eksempel en eller flere lubrikanter som magnesiumsterat eller talkum, en farge, et belegg (sukkerbelagt tablett) eller en glassering. ;;Som flytende preparater for oral administrering kan det benyttes farmasøytisk akseptable oppløsninger, suspensjoner, emulsjoner, siruper og eliksirer inneholdene interte fortynnere som vann, etanol, glyserol, vegetabilske oljer eller parafinolje. Disse preparater kan omfatte stoffer andre enn diluenter, for eksempel fukte-, søtnings-, fortynnings-, smaks- eller stabiliseringsprodukter. ;;Dosene avhenger av den ønskede effekt, behandlingens varighet og den administreringsform som anvendes, dosen ligger generelt mellom 5 mg til 1000 mg per dag oralt for et voksent menneske med enhetsdoser i området 1 mg til 250 mg aktiv bestanddel. Generelt vil legen bestemme den egnede doseringsform avhengig av alder, vekt og andre faktorer som er spesifikke for individer som behandles. ;;Terapeutiske bruksmåter ;Beskrevet heri er en fremgangsmåte for å avlive en CD38<+>-celle ved administrering til en pasient som trenger det, av et antistoff som binder nevnte CD38 og er i stand til avlive nevnte CD38<+ >ved apoptose, ADCC og/eller CDC. En hvilken som helst type av antistoffer eller cytotoksiske konjugater kan benyttes terapeutisk. ;;I foretrukne utførelsesformer blir antistoffereller cytotoksiske konjugater benyttet for behandling av en hyperproliferativ forstyrrelse eller inflammatorisk sykdom eller autoimmun sykdom hos et pattedyr. I en mer foretrukket utførelsesform blir et av de farmasøytiske preparatene som er beskrevet ovenfor, og som inneholder et antistoffeller cytotoksisk konjugat, benyttet for behandling av en hyperproliferativ forstyrrelse i et pattedyr. I en utførelsesform er forstyrrelsen en cancer. Særlig er canceren en metastatisk cancer. ;;I henhold til dette er de farmasøytiske preparater nyttige ved behandling eller prevensjon av et antall cancere inkludert, men ikke begrenset til B-celle lymfom og multippelt myelom. Andre sykdommer inkluderer de følgende: karsinom, inkluder i blære, bryst, kolon, nyre, lever, lunge, ovarie, pankreas, mage, cerviks, tyroid og hud; inkludert skvamøs cellekarsinom; hematopoietiske tumorer av lymfoidlinje, inkludert leukemi, akutt lymfocytisk leukemi, akutt lymfoblastisk leukemi, B-celle lymfom, T-celle lymfom, Burkitts lymfom; hematopoietiske tumorer av myeloid linje, inkludert akutte og kroniske myelogene leukemier og promyelocytisk leukemi; tumorer av mesenkymal opprinnelse inkludert fibrosarkom og rabdomyosarkom; andre tumorer inkluderer melanoma, seminoma, tetratokarsinom, neuroblastom og gliom; tumorer i det sentrale og perifere nervesystem inkludert astrocytoma, neuroblastoma, glioma og schwannomaer; tumorer av mesenkymal opprinnelse inkludert fibrosarkoma, rabdomyoskarama og osteosarkoma; og andre tumorer inkludert melanom, xeroderma pigmentosum, keratoaktantoma, seminoma, tyroid follikulær cancer og teratokarsinoma og andre cancer som må bestemmes der CD38 uttrykkes. Andre forstyrrelsen er NHL, BL, MED MER, B-CLL, ALL, TCL, AML, HCL, HL eller CML, der CD38 uttrykkes, og andre cancere som kan fastslås der CD38 uttrykkes predominant. Autoimmune sykdommer inkluderer systemisk lupus erytematose, reumatoid artritt, multippel sklerose, Crohns sykdom, ulcerativ kolitt, gastritt, Hashimotos tyroiditt, ankyloserende spondylitt, hepatitt C-assosiert kryoglobulinemisk vaskulitt, kronisk fokal encefalitt, bulløs pemfigoid, hemofili A, membranoproliferativ glomerulonefritt, Sjøgrens syndrom, adult og juvenil dermatomyositt, adult polymyositt, kronisk urtikaria, primær, biliær cirrhose, idiopatisk trombocytopenisk purpura, neuromyelitis optica, Graves dystrofi-sykdom, bulløs pemfigoid, membranproliferative glomerulonefritt, Churg-Strauss syndrom og astma. Andre forstyrrelser inkluderer for eksempel avstøtningreaksjoner som renaltransplantat rejeksjon, levertrnasplantat rejeksjon, lungetransplantat rejeksjon, kardial transplantatrejeksjon og benmarg transplantatrejeksjon; graft-versus-vert-sykdom; virale infeksjoner som mV-infeksjon, HIV-infeksjon, AIDS osv.; og parasittinfeksjoner som giardiase, amøbiase, schistosomiase og andre slike fastlegges av fagmannen på området. ;Tilsvarende tilveiebringer foreliggende beskrivelse en fremgangsmåte for inhibering av veksten av valgte cellepopulasjoner omfattende å bringe målceller, eller vev inneholdende målcellene, i kontakt med en effektiv mengde av et antistoff eller antistoffkonjugat, eller et antistoffeller terapeutisk middel omfattende et cytotoksisk konjugat, enten alene eller i kombinasjon med andre cytotoksiske eller terapeutiske midler. I en foretrukket utførelsesform er det ytterligere terapeutiske middelet en antagonist av epidermal vekstfaktor (EGF), fibroblast vekstfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær, endotelial vekstfaktor (VEGF), eller en antagonist av en reseptor for epidermal vekstfaktor (EGF), fibroblast vesktfaktor (FGF), hepatocytt vekstfaktor (HGF), vevsfaktor (TF), protein C, protein S, plateavledet vekstfaktor (PDGF), heregulin, makrofagstimulerende protein (MSP) eller vaskulær, endotelial vekstfaktor (VEGF), inkludert HER2-reseptor, HER3-reseptor, c-MET og andre reseptortyrosinkinaser. I en foretrukket utførelsesform er det ytterligere, terapeutiske middel et middel som sikter på clustere av differensierings (CD) antigener, inkludert CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 og CD152. I en foretrukket utførelsesform er det ytterligere terapeutiske middel et kjemoterapeutisk eller immunomodulatorisk middel. ;;Fremgangsmåten for inhibering av valgte cellepopulasjoner kan gjennomføres in vitro, in vivo eller ex vivo. Som benyttet her, betyr ”inhibering av vekst” en sinking av veksten hos en celle, redusering av cellelevedyktigheten, forårsake celledød, lysering av en celle og indusering av celledød, uansett om dette går over en kort eller en lang tid. ;;Eksempler på in vitro-anvendelser inkluderer behandlinger av autolog benmarg før transplantering til den samme pasienten for å avlive syke eller malignante celler; behandlinger av benmarg før transplantering for å avlive kompetente T-celler og forhindre graft-versus-vertsssykdom (GVHD); behandlinger av cellekulturer for å avlive alle celler bortsett fra de ønskede varianter som ikke uttrykker målantigenet; eller å avlive varianter som uttrykker uønsket antigen. ;;Betingelsene for ikke-klinisk in vitro-anvendelse kan lett bestemmes av fagmannen. ;;Eksempler på klinisk ex vivo-anvendelse er å fjerne tumorceller eller lymfoidceller fra benmarg før autolog transplantering i cancerbehandling eller ved behandling av autoimmun sykdom, eller for å fjerne T-celler og/eller lymfoidceller fra autolog eller allogenisk benmarg eller vev før transplantering for å forhindre graft-versusvertssykdom (GVHD). Behandlingen kan gjennomføres som følger. Benmarg høstes fra pasienten eller et annet individ, og blir så inkubert i medium inneholdende serum, hvortil det er satt et cytotoksisk middel. Konsentrasjonsområdet er fra rundt 10 µM til 1 pM, i rundt 30 minutter til rundt 48 timer, og ved rundt 37ºC. De eksakte betingelser for konsentrasjon og inkuberingstid, dvs. dose, kan lett bestemmes av fagmannen. Etter inkubering blir benmargcellene vasket med medium inneholdende serum og returnert til pasienten ved intravenøs infusjon i henhold til kjente metoder. Under omstendigheter der pasienten tar annen behandling som en ablativ kjemoterapi eller total kroppsbestrålning mellom tidspunktet for høsting av marg og reinfusjon av de behandlede celler, blir de behandlede margceller lagret frosset i flytende nitrogen ved bruk av medisinsk standardutstyr. ;;For klinisk in vivo-bruk vil antistoffet, eller det cytotoksiske konjugat, leveres som oppløsninger som er testet med henblikk på sterilitet og med henblikk på endotoksinnivåer. Eksempler på egnede protokoller for cytotoksisk konjugatadministrering er som følger. Konjugater gis ukentlig i 4 uker som en i.v. bolus hver uke. Bolusdosene gis i 50 til 100 ml normal saltoppløsning, hvor det kan settes 5 til 10 ml human serumalbumin. Dosene vil være 10 µg til 100 mg per administrering iv. (område på 10 ng til 1 mg/kg/dag). Mer foretrukket vil doseområdet være fra omtrent 50 µg til 30 mg. Helst vil doseområdet være fra 1 til 20 mg. Etter fire ukers behandling kan pasienten fortsatt motta behandling på ukentlig basis. Spesifikke, kliniske protokoller med henblikk på administreringsvei, eksipienter, diluenter, doser, tidsperioder osv., kan bestemmes av en fagmann med vanlig kunnskap på området, alt etter den foreliggende kliniske situasjon. ;;Diagnostikk ;Antistoffene beskrevet kan også benyttes for å detektere CD38 i en biologisk prøve in vitro eller in vivo. Fortrinnsvis blir de beskrevne anti-CD38-antistoffene benyttet in vitro for å bestemme nivå av CD38 i et vev eller i celler avledet fra vevet. Fortrinnsvis er vevet et sykt vev. Mer foretrukket er vevet en tumor eller en biopsi av denne. Mer foretrukketer vevet eller biopsien derav først skåret ut fra en pasient, og nivået av CD38 i vevet eller i biopsien kan så bestemmes i en immuno-analyse med antistoffer beskrevet heri. Beskrivelse frembringer videre bestemmelsen av nivået av CD38 i en prøve av et vev eller en biopsi derav som kan være frosset eller fiksert. Den samme metoden kan benyttes for å bestemme andre egenskaper av CD38-protein som for eksempel celleoverflatenivåene, eller dens cellulære lokasjon. ;;Den ovenfor beskrevne metoden kan benyttes for å diagnostisere en cancer i et individ er som er kjent for å ha eller mistenkt for å ha en cancer, der nivået av CD38 som er målt hos pasienten sammenlignes med det til et normalt referanseindivid eller standard. Metoden kan så benyttes for å bestemme hvorvidt en tumor uttrykker CD38, noe som kan antyde at tumoren vil respondere godt på behandling ved antistoffene, antistofffragmenter eller antistoffkonjugatene. Fortrinnsvis er tumoren en NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL eller CML, der CD38 uttrykkes, og andre cancere som senere må bestemmes der CD38 uttrykkes predominant. ;;Foreliggende beskrivelse tilveiebringer videre monoklonale antistoffer, humaniserte antistoffer og epitopbindende fragmenter derav som er ytterligere merket for bruk i forsknings- eller diagnostiske formål. I foretrukne utførelsesformer er merkelappen en radiomerkelapp, en fluorofor, en kromorof, et billedgivende middel eller et metallion. ;;En metode for diagnose beskrives også der nevnte merkede antistoffer eller epitopbindende fragmenter derav administreres til et individ som mistenkes for å ha en cancer eller en inflammatorisk sykdom eller en autoimmun sykdom, og fordelingen av merkelappen i kroppen hos individet måles eller følges. ;;Sett ;Foreliggende beskrivelse inkluderer også sett som for eksempel omfatter et beskrevet cytotoksisk konjugat og instruksjoner for anvendelse av det cytotoksiske konjugat for avlivning av spesielle celletyper. Instruksjonene kan inkludere retningslinjer for bruk av de cytotoksiske konjugater in vitro, in vivo eller ex vivo. ;;Typisk vil settet ha et rom inneholdende det cytotoksiske konjugat. Dette kan foreligge i lyofilisert form, flytende form eller en annen form som kan inkluderes i et sett. Sett kan også inneholde ytterligere elementer som er nødvendige, beskrevet i instruksjonene i settet, for eksempel en sterlisert oppløsning for rekonstituering av lyofilisert pulver, ytterligere midler for kombinering med cytotoksisk konjugat før administrering til en pasient, og verktøy som understøtter administrering av konjugatet til en pasient. ;Eksempler ;Oppfinnelsen skal nå beskrives under henvisning til de følgende eksempler som kun er illustrerende og ikke ment å begrense oppfinnelsen. ;;Eksempel 1 ;Muse CD38-antistoffer ;300-19-celler, en pre-B-cellelinje avledet fra Balb/c-mus (M. G. Reth et al.1985, Nature, 317: 353-355) som stabilt uttrykker et høyt nivå av human CD38 ble benyttet for immunisering av Balb/c VAF-mus. Musene ble immunisert subkutant med rundt 5 x 10<6 >CD38-uttrykkende 300-19-celler per mus hver annen til tredje uke ved standard immuniseringsprotokoller benyttet ved ImmunoGen, Inc. De immuniserte mus ble boostet med en ytterligere dose antigen tre dager før de ble avlivet for hybridomgenerering. Milten fra musen ble samlet i henhold til standard dyreprotokoller og ble malt opp mellom to sterile, frostede mikroskopiske planter for å oppnå en enkeltcellesuspensjon i RPMI-1640-medium. Miltcellene ble pelletisert, vasket og fusert med murint myelom P3X63Ag8.653-celler (J. F. Kearney et al. 1979, J Immunol, 123: 1548-1550) ved bruk av polyetylenglykol-1500 (Roche 783641). De fuserte cellene ble resuspendert i RPMI-1640 seleksjonsmedium inneholdende hypoxantinaminopterin-tymidin (HAT) (Sigma H-2062) og selektert med henblikk på vekst i 96-brønners flatbunnet kulturplater (Corning-Costar 3596, 200 µl av cellesuspensjon per brønn) ved 37ºC (5% CO2). Etter 5 dagers inkubering ble 100 µl kultursupernatnat fjernet fra hver brønn og erstattet med 100 µl RPMI-1640-medium inneholdende hypoxantin-tymidin (HT) supplement (Sigma H-0137). Inkubering ved 37ºC (5% CO2) ble fortsatt inntil hybridomkloner var ferdige for antistoffscreening. Andre teknikker for immunisering og hybridomproduksjon kan også benyttes, inkludert de som er beskrevet i J. Langone og H. Vunakis (red., Methods in Enzymology, Vol.121, “Immunochemical Techniques, Part I”; Academic Press, Florida) og E. Harlow og D. Lane (“Antibodies: A Laboratory Manual”;1988; Cold Spring Harbor Laboratory Press, New York). ;;Ved fluorescensaktivert cellesortering (FACS) ved bruk av en Becton Dickinson FACSCalibur eller en FACSArray-maskin, ble kultursupernatanter fra hybridom screenet (med FITC eller PE-konjugert anti-muse IgG-antiserum) for sekresjon av musemonoklonale antistoffer som binder til de CD38-uttrykkende 300-19-celler, men ikke til de parentale 300-19-celler. Hybridomklonene som testet positiv blir subklonet og isotypen av hvert utskilte anti-CD38-antistoff ble identifisert ved bruk av kommersielle isotypings reagenser (Roche 1493027). Til sammen 29 antistoffer som var positive for CD38-binding ble renset ved Protein A- eller –G-kromatografi ved bruk av en standard protokoll og så karakterisert videre. ;;Eksempel 2 ;Bindingskarakterisering av anti-CD38-antistoffer ;FACS-histogrammer som viste binding av anti-CD38-antistoffer, 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 til CD38-uttrykkende 300-19-celler, og fravær av binding til de parentale 300-19-cellene er vist i Fig.1. 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- eller 38SB39-antistoff (10 nM) ble inkubert i 3 timer med enten CD38-uttrykkende 300-19-celler eller de parentale 300-19-celler (1-2 x 10<5 >celler per prøve) i 100 µl iskald RPMI-1640-medium supplert med 2% normalt geiteserum. ;Deretter ble cellene pelletisert, vasket og inkubert i 1 time på is med FITC-konjugert geite-anti-muse-IgG-antistoff (Jackson Laboratory, 100 µl, 6 µg/ml i kald RPMI-1640 medium supplert med 2% normalt geiteserum). Cellene ble pelletisert igjen, vasket, resuspendert i 200 µl PBS inneholdende 1% formaldehyd og analysert ved bruk av et FACSCalibur strømningscytometer med CellQuest program (BD Biosciences). ;;FACS-histogrammene for CD38-uttrykkende 300-19-celler inkubert med 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 viste et sterkt fluorescensskift sammenlignet med det til den negative kontroll (celler inkubert kun med FITC-konjugerte geite-anti-muse IgG-antistoff) (Fig.1). Heller ikke ble signifikant fluorescensskift detektert når parentale 300-19-celler ble inkubert med noen av disse antistoffer. Tilsvarende resultater ble oppnådd når det positive kontroll anti-CD38-antistoff AT13/5 (Serotec, MCA1019) ble benyttet. ;;Et sterkt fluorescensskift ble også observert når Ramos (ATCC CRL 1596) lymfomaceller ble inkubert med 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 (Fig.1). Verdiene for den tilsynelatende dissosiasjonskonstant (KD) for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 for binding til Ramos-celler ble estimert fra FACS-analysekurvene som vist i fig.2 ved bruk av den ikke-lineære regresjonsmetode for sigmoide doseresponskurver (GraphPad Prizm, versjon 4, program, San Diego, CA). Verdiene er som følger: 0,10 nM, 0,10 nM, 0,12 nM, 0,16 nM, 0,11 nM og henholdsvis 3,3 nM. ;Eksempel 3 ;Induksjon av apoptose av Ramos- og Daudi-lymfomceller med 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-antistoffer ;Anti-CD38-antistoffene, 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 induserte apoptose av Ramos- og Daudi (ATCC CCL-213) lymfomcellelinjer og den MOLP-8 multiple myelomcellelinje (DSMZ ACC 569). Graden av apoptose ble målt ved FACS-analyse etter farging med FITC-konjugater av Annexin V (Biosource PHN1018) og med TÆO-PRO-3 (Invitrogen T3605). Anneksin V binder fosfoatidylserin på utsiden, men ikke på innsiden av cellemembranbisjiktet av intakte celler. I friske, normale celler, er fosfatidylserin uttrykt på innsiden av membran bisjiktet, og overføring av fosfatidylserin fra det indre til det ytre blad av plasmamembranen er et av de tidligst detekterbare signaler på apoptose. Binding av Anneksin V er således et signal for induksjon av apoptose. TO-PRO-3 er en monomer cyanin nukleinsyrefarge som kun kan penetrere plasmamembranen når membranintegriteten er svekket, slik det skjer i de senere trinn av apoptosen. ;;Eksepsjonelt voksende celler ble brakt på plater med rundt 2 x 10<5 >celler/ml i 24-brønners plater i RMPI-1640-medium supplert med 10% fetalt bovinserum (FBS), 2 mM L-glutamin og 50 µg/ml gentamycin (angitt nedenfor som komplett RMPI-1640-medium). Cellene ble generelt dyrket i komplett RMPI-1640-medium, hvis ikke annet er sagt. Cellene ble inkubert med anti-CD38-antistoffer (10 nM) i 24 timer ved 37ºC i en fuktet atmosfære holdende 5% CO2. Cellene ble så pelletisert, vasket to ganger med 500 µl PBS, resuspendert i 100 µl bindingsbuffer (tilveiebrakt i Anneksin V-FITC-settet), inneholdende 5 µl Anneksin V-FITC, og inkubert i 15 minutter på is. Deretter ble 400 µl bindingsbuffer og TO-PRO-3 (til en sluttkonsentrasjon på 1 µM) satt til blandingen og den celleassosierte fluorescens av FITC og TO-PRO-3 ble umiddelbart målt ved FACS. 4000 evenementer ble samlet for hver prøve. Dot-plot for fluorescensen og TO-PRO-3 (FL4-H; y-akse) og fluorescens av Anneksin V-FITC (FL1-H, x-akse) ble generert ved bruk av CellQuest software. ;;Resultatene er vist i figurene 3 og 4. Figur 3 gir et eksempel på et slikt dot-plott for Daudi-celler etter 24-timers inkubering med forskjellige anti-CD38-antistoffer. De midlere prosentandeler av Anneksin V-positive celler (inkluderer både TO-PRO-3-positive og –negative celler) fra duplikatprøver ble bestemt fra disse plott og er vist i figur 4. Uventet viste 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 sterk apoptotisk aktivitet. Mer enn 30% av Daudi-celler som var eksponert til noen av disse antistoffer var Anneksin V-positive sammenlignet med kun 6% av ikke-behandlede celler (Fig.3 og 4A). 38SB13,38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 viste minst 2,4-ganger sterkere apoptotiske aktiviteter (24% etter subtraksjon av den ikkebehandlede kontrollverdi) enn tidligere kjente murine CD38-antistoffer som ble testet ved samme konsentrasjon på 10 nM, (AT13/5, OKT10, IB4 og SUN-4B7, mindre enn 10% Anneksin V-positive etter subraksjon av den ikke-behandlede kontrollverdi) og to andre anti-CD38-antistoffer generert i søkers laboratorium (38SB7 og 38SB23, ikke høyere enn ikke-behandlet kontroll, dvs. rundt 6& Anneksin V-positiv) (Fig.4A). ;AT13/5 ble ervervet fra Serotec (MCA1019) og OKT10 ble produsert og renset fra hybridom (ATCC CRL-8022). IB4 og SUN-4B7 var en gave fra prof. F. Malavasi, Universitetet i Torino, Italia. Tilsvarende viste 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-anti-CD38-antistoffer minst 3,5-ganger sterkere pro-apoptotisk aktivitet på en annen lymfomcellelinje, Ramos (7% eller mer Anneksin V-positiv etter subtraksjon av den ikke-behandlede kontrollverdi) enn noen av tidligere kjente, murin CD38-antistoffer, AT13/5, OKT10, IB4 og SUYN-4B7, eller to andre nye anti-CD38-antistoffer, 38SB7 og 38SB23 (mindre enn 2% Anneksin V-positiv etter subtraksjon av den ikke-behandlede kontrollverdi) (Fig.4B). Til slutt viste 38SB13-, 38SB18-, 38SB19-, 38SB30-, 38SB31- og 38SB39-anti-CD38-antistoffer sterk pro-apoptotisk aktivitet på den multiple myelomcellelinje MOLP-8 (Fig.4C). Rundt 50% MOLP-8-celler som var behandlet med disse antistoffer var Anneksin V-positive sammenlignet med rundt 39% ikke-behandlede celler. Som kontrast ga behandling med de kjente murin CD38-antistoffer, AT13/5, OKT10, IB4 og SUN-4B7, eller de to andre nye anti-CD38-antistoffer, 38SB7 og 38SB23 ikke noen økning i andelen av apoptotiske celler. ;;Eksempel 4 ;Kloning og sekvensering av lette og tunge kjeder av anti-CD38-antistoffer ;;38SB19-antistoff ;RNA-preparering fra hybridomceller som produserer 38SB19-antistoff. ;;Fremstilling av total RNA ble oppnådd fra 5 x 10<6 >hybrodimceller som produserer 38SB19-antistoff ved bruk av Qiagens RNeasy miniprep kit. Kort sagt ble 5 x 10<6 >celler pelletisert og resuspendert i 350 µl RLT-buffer (inneholdende 1% β-merkaptoetanol). Suspensjonen ble homogenisert ved å føre den gjennom en nål nr.21,5 og sprøytet rundt 10-20 ganger inntil den ikke lenger var viskøs. Etanol (350 µl 70% vandig etanol) ble satt til homogenatet som ble blandet godt. Oppløsningen ble overført til en spin-kolonne, anbrakt i et 2 ml samlerør og spunnet ved >8000 x g i 15 sekunder. Kolonnen ble vasket to ganger med 500 µl RPE-buffer, så overført til et friskt rør og eluert med 30 µl RNase-fritt vann og en 1-minutts spinning. Eluatet på 30 µl ble anbrakt tilbake på kolonnen for en andre 1-minutts elueringsspinning. En alikvot på 30 µl eluant fortynnet med vann og benyttet for å måle UV-absorpsjoner ved 260 nm for RNA-kvantitering. ;;cDNA-preparering med revers transkriptase (RT)-reaksjon ;Det variable område 38SB19-antistoff cDNA ble generert fra total RNA ved bruk av Invitrogens SuperscritII-kit. Kit-protokollen ble fulgt strengt ved anvendelse av opp til 5 µg total RNA fra Qianeasy mini-prepene. Kort sagt ble RNA, 1 µl virkårlig primere og 1 µl dNTP-blanding brakt opp til 12 µl med RNase-fritt, sterilt, destillert vann og inkubert ved 65ºC i 5 minutter. Blandingen ble så brakt på is i minst 1 minutt. Deretter ble 4 µl 5 x reaksjonsbuffer, 2 µl 0,1 M DTT og 1 µl RNaseOUT tilsatt og blandingen inkubert ved 25ºC i 2 minutter i en MJ Research termalsykler. Denne ble stanset slik at 1 µl SuperscriptII-enzym kunne tilsettes og så startet igjen for ytterligere 10 minutter ved 25ºC før skift til 55ºC i 50 minutter. Reaksjonsblandingen ble varmeinaktivert ved oppvarming til 70ºC i 15 minutter, og RNA ble fjernet ved tilsetning av 1 µl RNase H og inkubering ved 37ºC i 20 minutter. ;;Degenerate PCR-reaksjoner ;Prosedyren for denne første runde degnerat PCR-reaksjon på det cDNA som var avledet fra hybridomceller var basert på metoden som beskrevet av Wang et al. (2000) og Co et al. (1992). Primerne for denne runde (Tabell 2) inneholder restriksjonsseter for å lette kloning inn i pBluescriptII-plasmider. ;;PCR-reaksjonskomponenten (Tabell 3) ble blandet på is i tynnvegget PCR-rør og så overført til en MJ research termalsykler som var forvarmet og holdt ved 94ºC. ;Reaksjonen ble gjennomført ved anvendelse av et program avledet fra Wang et al., 2000, som følger: ;;Navn: Wang45 ;94ºC 3:00 min ;94ºC 0:15 sek ;45ºC 1:00 min ;72ºC 2:00 min ;Goto 229 ganger ;72ºC 6:00 min ;4ºC resten ;Slutt ;;PCR-reaksjonsblandingen ble så kjørt på en 1% lavsmelte agarosegel, båndende på 300 til 400 bp ble skåret ut, renset ved bruk av Zymo DNA minikolonner og sendt til Agentcourt biosciences for sekvensering. De respektive 5’- og 3’-PCR-primere ble benyttet som sekvenseringsprimere for å generere disse 38SB19-variable områdecDNAer fra begge retninger. ;;Kloning av 5’ endesekvensen ;Fordi de degenerate primere som ble benyttet for å klone de 38SB19-variabelt område lettkjede- og –tungkjede cDNA-sekvenser endrer 5’ sekvensene, var ytterligere sekvenseringsforsøk nødvendig for å dechiffrere de komplette sekvenser. Den preliminære cDNA-sekvens fra metoden som beskrevet ovenfor, ble benyttet for å søke NCBI IgBlast-sete (http://www.ncbi.nlm.nih.gov/igblast/) for de murine germlinjesekvenser hvorfra 38SB19-sekvensen er avledet. PCR-primere ble designert (Tabell 3) for å annelere ledersekvens av det murine antistoff slik at en ny PCR-reaksjon kunne gi den fullstendige variabelområde cDNA, uendret av PCR-primerne. PCR-reaksjonene, båndrensing og sekvensering ble gjennomført som beskrevet ovenfor. ;;Peptidanalyse for sekvensbekreftelse ;cDNA-sekvensinformasjonen for det variable området ble kombinert med den germilinjekonstante regionsekvens for å oppnå fullengde antistoff-cDNA-sekvenser. Molekylvektene for tungkjede og lettkjede ble så beregnet, og sammenlignet med molekylvekt oppnådd ved LC/MS-analyser av det murine 38SB19-antistoff. ;;Tabell 4 gir de beregnede masser fra cDNA-sekvensen for 38SB19 LC og -HC sammen med verdiene målt ved LC/MS. Molekylvektsmålingene er konsistent med cDNA-sekvensen for både den tunge og lette 38SB19-kjede. ;;Eksempel 5 ;Rekombinant ekspresjon av hu38SB19-antistoffer ;Variabel områdesekvensene for hu38SB19 ble kodonoptimalisert og syntetisert av Blue Heron Biotechnology. Sekvensene er flankert av restriksjonsenzymseter for kloning inframe med de respektive konstante sekvenser i både enkeltkjede- og tandem dualkjede mammalske ekspresjonsplasmider. Det lettkjedevariable området klones inn i EcoRI-og BsiWI-seter i både ps38SB19LCZv1.0 og ps38SB19v1.00 plasmider (Fig.5A og 5C). Det tungkjedevariable området klones inn i HindIII og Apa1-setene i både ps38SB19HCNv1.0 og ps38SB19v1.00 plasmider (Fig.5B og 5C). Disse plasmider kan benyttes for å uttrykke hu38SB19 i enten transient eller stabil transfeksjon i mammalske celler. Tilsvarende ekspresjonsvektorkonstrukter ble benyttet for å produsere andre kimere og humaniserte antistoffer. ;;Transiente transfeksjoner for å uttrykke hu38SB19 i HE-293T-celler ble gjennomført ved bruk av CaPO4-reagenser fra BD biosciences. De leverte protokoller ble noe modifisert for forsterkede ekspresjonsutbytter. Kort sagt ble 2 x 10<6>HE-293T-celler brakt på plate på 10 cm vevskulturplater belagt med polyetylenimin (PEI) 24 timer før transfeksjon. Transfeksjonen begynte med vasking av cellene med PBS og erstatning av mediet med 10 ml DMEM (Invitrogen) med 1% Ultra lav IgG FBS (Hyclone). ;Oppløsning A (10 µg DNA, 86,8 µl Ca<2+>-oppløsning, og opp til 500 µl med H2O) ble dråpevis satt til Oppløsning B under vorteksering. Blandingen ble inkubert ved RT i 1 minutt og 1 ml av blandingen ble dråpevis satt til hver 10 cm plate. Rundt 16 timer etter transfeksjon ble medium erstattet med 10 ml frisk DMEM med 1% Ultra lav IgG FBS. Rundt 24 timer senere, ble 2 mM natriumbutyrat satt til hver 10 cm plate. ;Transfeksjonen ble høstet 4 dager senere. ;;Supernatant ble preparert for Protein A affinintetskromatografi ved tilsetning av 1/10 volum i 1 M Tris/HCl-buffer, pH 8,0. Den pH-justerte supernatant ble filtrert gjennom en 0,22 µm filtermembran og lastet på en Protein A Sepharose-kolonne (HiTrap Protein A HP, 1 ml, Amersham Biosciences) som var ekvilibrert med bindingsbuffer (PBS, pH 7,3). En Q-Sepharose prekolonne (10 ml) ble forbundet oppstrøms Protein A-kolonnen under prøvelasting for å redusere kontaminering fra det cellulære materiale som DNA. Etter prøvelastingen ble prekolonnen fjernet og Protein A kolonneorienteringen reversert for vasking og eluering. Kolonnen ble vasket med bindingsbuffer inntil det var oppnådd en stabil bunnlinje, uten noen absorbans ved 280 nm. Et antistoff ble eluert med 0,1 M eddiksyrebuffer inneholdende 0,15 M NaCl, pH 2,8, ved bruk av en strømningshastighet på 0,5 ml/min. Fraksjoner på rundt 0,25 ml ble samlet og nøytralisert ved tilsetning av 1/10 volum 1M Tris/HCl, pH 8,0. Toppfraksjoner ble dialysert over natten to ganger mot PBS og renset antistoff kvantitert ved absorbanse ved OD280. Humaniserte og kimere antistoffer kan også renses ved bruk av en Protein G-kolonne med lett forskjellige prosedyrer. ;;Alle de beskrevne kimere og humaniserte anti-CD38-antistoffer ble uttrykt og renset ved prosedyrer tilsvarende det som er beskrevet ovenfor. ;;Eksempel 6 ;Antistoffavhengige, cellemedierte cytotoksisitets (ADCC)-aktiviteter for kimere anti-CD38-antistoffer ;Fordi noen anti-CD38-antistoffer tidligere er kjent å ha ADCC- og/eller CDC-aktivitet som kimere eller humaniserte antistoffer med humane IgG1-konstante områder (J. H. Ellis et al.1995, J Immunol, 155: 925-937; F. K. Stevenson et al. 1991, Blood, 77: 1071-1079; WO 2005/103083), ble de kimere versjoner av 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39, bestående av murinvariable områder og det humane IgG1/IgKappa-konstante området, tildannet og testet med henblikk på ADCC- og/eller CDC-aktiviteter. ;;Ch38SB13, ch38SB18, ch38SB19, ch38SB30, ch38SB31 og ch38SB39 ble først testet på ADCC ved bruk av Ramos-celler som målceller og human naturlig dreper (NK)-celler som effektor celler. En laktat dehydrogenase (LDH) frigivningsanalyse ble benyttet for å måle cellelysering (R. L. Shields et al., 2001, J Biol Chem, 276: 6591-6604). ;;NK-cellene ble først isolert fra humanblod (fra en normal donor; ervervet fra Research Blood Components, Inc., Brighton, MA) ved bruk av en modifisert protokoll for NK Isolation Kit II (Miltenyi Biotech). Blod ble fortynnet 2-3 ganger med Hansk balanserte saltoppløsning (HBSS). 25 ml fortynnet blod ble omhyggelig sjiktet over 25 ml Ficoll Paque i et 50 ml konisk rør og sentfiguert ved 400 g i 45 min ved 19ºC. De perifere mononukleære blodceller (PBMC) ble samlet fra grenseflaten, overført til et nytt, konisk 50 ml rør og vasket en gang med HBSS. PBMC ble resuspendert i 2 ml NK-isolasjonsbuffer og deretter ble 500 µl Biotin-Antibody Cocktail (fra NK-isolasjonsettet, 130-091-152, Miltenyi Biotech) satt til cellesuspensjonen. Denne Biotin-Antibody Cocktail inneholder biotinylerte antistoffer som binder til lymfocyttene, bortsett fra NK-cellene. Blandingen ble inkubert ved 4ºC i 10 minutter, og deretter ble 1,5 ml NK-isolasjonsbuffer (PBS, 0,1% BSA, 1 mM EDTA) og 1 ml anti-biotin mikrokuler ble tilsatt. Celle-antistoffblandingen ble inkubert i ytterligere 15 min. ved 4ºC. Deretter ble cellene vasket en gang med 50 ml NK-isolasjonsbuffer og resuspendert i 3 ml NK-isolasjonsbuffer. Deretter ble MACS LS-kolonnen (på MACS-separatoren, Miltenyi Biotech) forvasket med 5 ml NK-isolasjonsbuffer. Cellesuspensjonen ble så brakt på LS-kolonnen. Effluenten (fraksjonen med ikke-merkede celler) ble samlet i et nytt, 50 ml konisk rør. Kolonnen ble vasket tre ganger med 3 ml NK-isolasjonsbuffer. Hele efluenten ble samlet i det samme rør og vasket en gang med 50 ml NK-isolasjonsbuffer. NK-celler ble brakt på platen i 30 ml RPMI-1640 supplert med 5% fetal bonvineserum, 50 µg/ml gentamycin. ;;Forskjellige konsentrasjoner av ch38SB13-, ch38SB18-, ch38SB19-, ch38SB30-, ch38SB31- og ch38SB39-antistoffer i RPMI-1640-medium supplert med 0,1% BSA, 20 mM HEPES, pH 7,4, og 50 µg/ml gentamycin (angitt ovenfor som RHBP-medium) ble alikvotert (50 µl/brønn) til en rundbunn 96-brønners plate. Mål-Ramos-cellene ble resuspendert ved 10<6 >celler/ml i RHBP-medium og satt til hver brønn (100 µl/brønn) inneholdende antistoffortynninger. Platen inneholdende målceller og antistofffortynninger ble inkubert i 30 minutter ved 37ºC. NK-celler (50 µl/brønn) ble så satt til brønnene inneholdende målcellene, typisk i et forhold på 1 målcelle per 3-6 NK-celler. RHBP-medium (50 µl/brønn) ble satt til kontrollbrønnene med NK-celler. Også 20 µl tTriton X-100-oppløsning (RPMI-1640-medium, 10% Triton X-100) ble satt til de 3 brønner som kun inneholdt målceller uten antistoff, for å bestemme den maksimalt mulige LDH-frigivning. Blandingene ble inkubert ved 37ºC i 4 timer, og så sentrifugert i 10 minutter ved 12 omdr/min, hvoretter 100 µl av supernatanten forsiktig ble overført til en ny flatbunn 96-brønners plate. LDH-reaksjonsblandingen (100 µl/brønn) fra Cytotoxicity Detection Kit (Roche 1644 793) ble satt til hver brønn og inkubert ved romtemperatur i 5-30 minutter. Den optiske densitet for prøvene ble målt ved 490 nm (OD490). Prosentandel spesifikk lysering av hver prøve ble bestemt ved å tilskrive 100% lysering til OD490-verdien av Triton X-100-behandlede prøver, og 0% lysering til OD490-verdien for den ikke-behandlede kontrollprøve kun inneholdende målceller. Prøvene inneholdende kun NK-celler ga neglisjerbare OD490-avlesninger. ;;Ved testing med Ramos-målceller og NK-effektorceller viste kimere anti-CD38-antistoffer meget potente ADCC-aktiviteter (Fig.6). EC50-verdiene ble estimert ved en ikke-lineær regresjonsmetode med sigmoide doseresponskurver og funnet å være som følger: 0,0013 µg/ml for h38SB13, 0,0013 μg/ml for ch38SB18, 0,0018 μg/ml for ch38SB19, 0,0022 μg/ml for ch38SB30, 0,0012 μg/ml for ch38SB31, 0,1132 μg/ml for ch38SB39. Kimere anti-CD38-antistoffer viste også potent ADCC-aktivitet på LP-1 (DSMZ ACC 41) multiple myelomceller (EC50-verdier: 0,00056 μg/ml for ch38SB18, 0,00034 μg/ml for ch38SB19, 0,00024 μg/ml for ch38SB31) (Fig.7A). Ch38SB19 avlivet også effektivt Daudi-lymfomaceller (Fig.7B), NALM-6 B-ALL-celler (DSMZ ACC 128) (Fig.8A) og MOLT-4 T-ALL-celler (ATTC CRL-1582) (Fig.8B) ved ADCC, noe som antyder at anti-CD38-antistoffer med uvanlig potent apototisk aktivitet også har potent ADCC-aktivitet mot forskjellige tumorceller avledet fra forskjellige hamtopoietiske malignanser. Heller ikke et ikke-bindende IgG1 kontrollantistoff (rituximab, BiogenIdec) (Fig.7A, 8A og 8B) eller mu38SB19 (Fig.7B) hadde i det samme forsøk noe signifikant ADCC-aktivitet. ;;Eksempel 7 ;CDC-aktiviteter av kimere anti-CD38-antistoffer ;CDC-aktivitetne for ch38SB13, ch38SB18, ch38SB19, ch38SB30, ch38SB31 og ch38SB39 ble målt basert på en metode modifisert fra H. Gazzano-Santoro et al.1997, J. Immunol Methods, 202: 163-171. Human komplement var lyofilisert human komplementserum (Sigma-Aldrich S1764) som var rekonstituert med sterilt, renset vann som antydet av produsenten og så fortynnet 5 ganger med RHBP-medium umiddelbart før forsøket. Målceller suspendert til 10<6 >celler/ml i RHBP-medium ble alikvotert inn i brønner av en flatbunn 96-brønners vevkulturplate (50 µl/brønn). ;Deretter ble 50 µl forskjellige konsentrasjoner (fra 10 nM gil 0,001 nM) av anti-CD38-antistoffene i RHBP-medium tilsatt (et antistoff per brønn), noe som ble fulgt av 50 µl/brønn komplementoppløsning. Platen ble så inkubert i 2 timer ved 37ºC i en fuktet atmosfære inneholdende 5% CO2, hvoretter 50 µl 40% Alamar Blue-reagens (Biosource DAL1100), fortynnet i RHBP (10% sluttverdi) ble satt til hver brønn for å måle cellenes levedyktighet. Alamar Blue følger reduksjonsevnen for de levedyktige celler. Platen ble inkubert i 5-18 timer ved 37ºC før måling av fluorescensen (i relative fluorescensenheter, RFU) ved 540/590 nm. Prosentandelen til spesifikk cellelevedyktighet for hver prøve ble bestemt ved først å korrigere forsøksverdiene for bakgrunns fluorescens ved å subtrahere bakgrunns RFU-verdien (brønner med kun medium, uten noen celler) fra RFU-verdiene for hver prøve, og så å dividere de korrigerte RFU-verdier med den korrigerte RFU-verdien for ikke-behandlede celleprøver. ;;Når CDC-aktiviteten for de kimere anti-CD38-antistoffprøver ble testet med Raji-IMG-celler ved bruk av human komplement med en sluttfortynning på 5%, viste kimere anti-CD38-antistoffer meget potente CDC-aktiviteter (Fig.9). Raji-IMG er celler som er avledet fra Raji-celler (ATCC CCL-86) og uttykker lavere nivåer av membrankomplement inhibitorene CD55 og CD59. EC50-verdiene ble estimert ved ikke-lineær regresjon fra den sigmoide doseresponskurve som vist i fig.8 og er som følger: 0,005 µg/ml ch38SB13, 0,0101 μg/ml for ch38SB18, 0,028 μg/m, for ch38SB19, 0,020 μg/ml for ch38SB30, 0,010 μg/ml for ch38SB31 og 0,400 μg/ml for ch38SB39. Kimere anti-CD38-antistoffer viste også potent CDC-aktivitet mot LP-1 multiple myleomceller (EC50-verdi: 0,032 μg/ml for ch38SB18, 0,030 μg/ml for ch38SB19, 0,043 μg/ml for ch38SB31), mens en ikke-bindende, kimer kontroll IgG1 (rituximab, BiogenIdec) ikke hadde noen CDC-aktivitet (Fig.10). Når kimere CD38-antistoffer ble testet på Daudilymfomceller, skilte ved forskjellige anti-CD38-antistoffer seg fra hverandre når det gjelder deres respektive CDC-aktivieteter (Fig.11). Mens den spesifikke levedyktighet for Daudi-celler var mindre enn 15% etter deres inkubering med 1,25 µg/ml ch38SB19 i nærvær av komplement, var det kun en marginal reduksjon i den spesifikke levedyktighet for disse celler etter deres inkubering med ch38SB18 og ch38SB39 (1,25 µg/ml eller høyere konsentrasjon) i nærvær av komplement (den spesifikke levedyktighet var 85% henholdsvis 91%). Videre ble kun en moderat reduksjon av spesifikk levedyktighet observert når Daudi-cellene ble inkubert med 1,25 µg/ml eller høyere konsentrasjon av ch38SB13, ch38SB30 og ch38SB31 i nærvær av komplement (den spesifikke levedyktighet var 65%, 45% henholdsvis 53%). ;;Eksempel 8 ;Bindingsaffinitet og apoptotisk, ADCC- og CDC-aktiviteter for humanisert anti-CD38-antistoffer ;De to versjoner av humanisert 38SB19 (hu38SB19 v1.00 og v1.20) og den kimere 38SB19 viste tilsvarende bindingsaffinitet ved testing med Ramos-celler med KD-verdier på 0,23 nM, 0,25 nM henholdsvis 0,18 nM (Fig.12A). Bindingsaffiniteten for kimere og humaniserte 38SB19-antistoffer ble også samlet i en kompetisjonsbindingsanalyse der deres evne til å konkurrere med bindingen til biotinylert, murin 28SB19-antistoff, måles. Biotinmerket murin 38SB19-antistoff (3 x 10<-10 >M) ble blandet med forskjellige konsentrasjoner av ch38SB10, hu29SB19 v1.00 eller hu38SB19 v1.20. Antistoffblandingen ble inkubert med Ramos-celler og mengden av biotinylert, muring 38SB29 som var bundet til cellene, ble målt med FITC-konjugert straptavidin ved FACS-analyse. Hu38SB19 v1.00, hu38SB19 v1.29 og ch38SB19 konkurrerte like godt med bindingen av biotinylert, muring 38SB19 (Fig.12B), noe som nok en gang indikerer at bindingsaffiniteten er upåvirket av humanisering. Når ch38SB19, hu38SB19 v1.00 og hu38SB19 v1.20 (10<-8 >til 10<-11 >M) ble sammenlignet med henblikk på evnen til å indusere apoptose av Daudi-celler, viste de tilsvarende apototiske aktiviteter (Fig.139. Videre viste hu38SB10 v1.00 og v1.20 også tilsvarende ADCC som ch38SB19 i LP-1-celler (Fig.14) og tilsvarende CDC-potenser som ch38SB19 i Raji-IMG og LP-1-celler (Fig.15). Hu38SB19 v1.00 viste også tilsvarende CDC-aktivitet som ch28SB19 i den T-celleakutte lymfoblastiske leukemicellelinje DND-41 (DSMZ 525) (Fig.15). Hu38SB19 v1.00 ble videre testet med henblikk på evnen til å indusere apoptose i et diverse sett av cellelinjer (Fig.16). Behandling med hu38SB10 v1.00 (10<-8 >M) resulterte i en dramatisk økning av Anneksin V-positive celler i B-celle lymfomcellelinjene SU-DHL-8 )DSMZ ACC 583) (fra 7% i ubehandlet kontroll til 97% i hu38SB10-behandlede celler) og NU-DUL-1 (DSMZ ACC 589) (fra 10% i ubehandlet kontroll til 37% i hu38SB19-behandlede celler) og T-ALL cellelinjen DND-41 (fra 7% i ubehandlet kontroll til 69% i hu38SB19-behandlede celler). I tillegg øker behandling med hu38SB10 v1.00 (10<-8 >M) andelen av Anneksin V-positive celler i den B-celle lymfocytiske leukemicellelinje JVM-13 (DSMZ ACC 19) (fra 8% i ubehandlet kontroll til 17% i hu38SB19-behandlede celler) og i hårcelleleukemicellelinjen HX-1 (DSMZ ACC 301) (fra 6% i ubehandlet kontroll til 10% i hu38SB19-behandlede celler). ;;Tilsvarende viste to versjoner av humanisert 38SB31 (hu38SB31 v1.1 og v1.2) og den kimere 38SB31 like bindingsaffiniteter når de ble testet med Ramos-celler med KD-verdier på 0,13 nM, 0,11 nM og henholdsvis 0,12 nM. Bindingsaffinitetene for kimere og humaniserte 38SB31-antistoffer ble også sammenlignet med i en kompetisjons bindingsanalyse som beskrevet ovenfor, og ytet like godt. Hu38SB31 v1.1 ble ytterligere testet med henblikk på evnen til å indusere apoptose i ytterligere celleinjer. Det humaniserte antistoff viste tilsvarende apoptotiske aktiviteter som ch38SB31 mot Ramos-, Daudi-, Molp-8- og SUÆ-DHL-8-celler. Videre viste hu38SB31 v1.1 også tilsvarende ADCC- og CDC-aktiviteter som ch38SB31 i disse cellelinjer. ;;Eksempel 9 ;In vivo-effektivitet for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 In vivo anti-tumoraktivitetene for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 ble undersøkt inn i en overlevelses human xenograft tumormodell i immunodefekte mus (hunn CB.17 SCID), etablert med Ramos lymfomceller. Hunn CB.17 SCID-mus ble inokulert med 2 x 10<6 >Ramos-celler i 0,1 ml serumfritt medium gjennom en latteral halevene. 7 dager etter tumorcelleinokkulering ble musene randomisert i 7 grupper basert på kroppsvekt. Det var 10 mus per gruppe, bortsett fra den 38SB31-behandlede gruppen som hadde 6 mus, og den 38SB39-behandlede gruppen som hadde 8 mus. Antistoffer ble gitt musene intravenøst i en dose på 40 mg/kg, to ganger per uke, i tre påhverandre følgende uker, med start 7 dager etter celleinokkulering. Musene ble avlivet hvis en eller begge baklemmer var paralysert, tap av kroppsvekt var mer enn 20% fra verdien før behandling, eller dyret var for sykt til å komme frem til næring og vann. Behandlingen med 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 og 38SB39 forlenger signifikant musenes overlevelse, sammenlignet med den PBS-behandlede mus (Fig.17). Midlere overlevelse for PBS-behandlede mus var 22 dager og den til antistoffbehandlede grupper lå fra 28 til 33 dager. ;;In vivo anti-tumor aktivitetene for mu38SB19 og hu38SB19 ble undersøkt videre i ytterligere human xenograft tumormodeller i immunodefektive mus. For en Daudi lymfom overlevelsesmodell ble SCID-mus inokulert med 5 x 10<6 >Daudi-celler i 0,1 ml serumfritt medium gjennom en latteral halevene. Studien ble gjennomført som beskrevet ovenfor. Behandlingen med enten mu38SB19 eller hu38SB19 forlenget signifikant overlevelsen for mus sammenlignet med den til PBS-behandlede mus (Fig. 18). En midlere overlevelse for PBS-behandlede mus var 22 dager, mens den midlere overlevelse for antistoffbehandlede mus var 47 dager. ;;For en NCI-H929 multippelt myelom tumormodell, ble SCID-mus innokulert subkutant med 10<7 >celler. Når tumorene var palpable på dag 6, ble dyrene randomisert i grupper på 10 i henhold til kroppsvekt og antistoffbehandlingen startet. Hu38SB19-antistoffet eller et ikke-bindende, kimert IgG1-kontrollantistoff (rituximab, BiogenIdec) ble gitt musene intravenøst i en dose på 40 mg/kg, to ganger per uke, i tre på hverandre følgende uker. Tumorvolumet ble fulgt og dyrene avlivet hvis tumoren nådde 2000 mm<3 >i størrelse eller ble nekrotisk. PBS-behandlet gruppe nådde et midlere tumorvolum på 1000 mm<3 >på dag 89, den kimeriske IgG1 kontrollantistoffgruppe på dag 84 (Fig. 19). Behandling med hu38SB19 forhindret fullstendig tumorvekst i alle 10 dyrene. I motsetning til dette, viste kun to dyr i PBS-behandlet gruppe og tre dyr i den kimere IgG1-kontrollantistoffgruppe tumorregresjon. ;;For en MOL-8 multippelt myelom tumormodell ble SCID-mus innokulert subkutant med 10<7 >celler. Når tumorene var palpable på dag 4, ble dyrene randomisert i grupper på 10 i henhold til kroppsvekt og antistoffbehandling ble startet. Hu38SB19- og mu38SB19-antistoffene eller et kimerisk IgG1 kontrollantistoff ble gitt musene intravenøst i en dose på 40 mg/kg, to ganger per uke, i tre på hverandre følgende uker. Tumorvolumet ble fulgt og dyrene avlivet hvis tumorene nådde 2000 mm<3 >i størrelse, eller ble nekrotiske. Den PBS-behandlede gruppe nådde et midlere tumorvolum på 500 mm<3>på dag 22, den kimeriske IgG1 kontrollantistoffgruppe på dag 23 (Fig. 20). Ingen av tumorene i disse grupper viste regress. I motsetning til dette førte behandling med hu38SB19 eller mu38SB19 til tumorregresjon i 8 av 10, henholdsvis 6 av 10 dyr. ;Tabeller ;Tabell 1: ;Mu38SB19-lettkjedet rammeverks overflaterester og tilsvarende rester på den samme Kabat-posisjon i human 1.69-antistoff. Restene som er forskjellige og derfor forandret i hu38SB19-antistoffet er i de gråtonede bokser. De merkede (*) rester er tilbakemutert til mu38SB19-resten i en eller flere hu38SB19-varianter. In a preferred embodiment, a humanized 38SB19 antibody is provided that comprises a VL having an amino acid sequence selected from the group consisting of SEQ ID NOS: 62 and 64. The humanized 38SB19 antibodies may also include substitutions in light and/or heavy chain amino acid residues at one or more positions defined by the gray residues in Tables 1A and 1B that represent the murine surface framework residues that are changed from the original murine residue to the corresponding framework surface residue in the human antibody 28E4. The dashed (*) residues in Table 1B correspond to the murine back mutations in the humanized 38SB19 heavy chain variant (SEQ ID NO: 69). The residues for back mutations are proximal to the CDRs and were selected as described in US 5,639,641 or in analogy to the selection of residues that in previous humanization attempts resulted in a reduction in antigen binding affinity (Roguska et al., 1996, US publ. ;2003/0235582 and 2005/0118183). ;;Similarly, the humanized 38SB13, 38SB18, 38SB30, 38SB31 and 38SB39 antibodies and epitope-binding fragments thereof may also include substitution in light and/or heavy chain amino acid residues. ;;Polynucleotides, Vectors and Host Cells ;The present invention provides nucleic acids encoding anti-CD38 antibodies described herein. In one embodiment, the nucleic acid molecule encodes a heavy and/or a light chain of an anti-CD38 immunoglobulin. In a preferred embodiment, a single nucleic acid encodes a heavy chain of an anti-CD38 immunoglobulin and a second nucleic acid molecule encodes the light chain of an anti-CD38 immunoglobulin. ;;There are also provided polynucleotides encoding polypeptides having an amino acid sequence selected from the group consisting of SEQ ID NOS: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70 and 72. The polynucleotides of the invention is selected from the group consisting of SEQ ID NOS: 62, 64 and 66. ;;The present invention provides vectors comprising polynucleotides of the invention. In one embodiment, the vector contains a polynucleotide encoding a heavy chain of an anti-CD38 immunoglobulin. In another embodiment, the polynucleotide encodes the light chain of an anti-CD38 immunoglobulin. The invention also provides vectors comprising polynucleotide molecules encoding fusion proteins, modified antibodies, antibody fragments and probes thereof. ;;To express the heavy and/or light chain of anti-CD38 antibodies of the disclosure, the polynucleotides encoding said heavy and/or light chain are inserted into expression vectors such that the genes are operably linked to transcriptional and translational sequences. Expression vectors include plasmids, YACs, cosmids, retroviruses, EBV-derived episomes and all other vectors that the skilled person will know to be appropriate for ensuring expression of said heavy and/or light chains. ;The skilled person will realize that the polynucleotides encoding the heavy and light chains can be cloned into different vectors or into the same vector. In a preferred embodiment, these polynucleotides are cloned into the same vector. ;;The polynucleotides of the invention, and vectors comprising these molecules, can be used for transforming a suitable mammalian host cell. The transformation can be done by any known method for introducing polynucleotides into a host cell. Such methods are well known to those skilled in the art and include dextran-mediated transformation, calcium phosphate precipitation, polybrene-mediated transfection, protoplast fusion, electroporation, encapsulation of the polynucleotide in liposomes, biolistic injection and direct microinjection of DNA into the nucleus. ;;Antibody Fragments ;As used herein, “antibody fragments” include any portion of an antibody that retains the ability to bind to the epitope recognized by the full-length antibody, generally referred to as “epitope-binding fragments”. Examples of antibody fragments include, but are not limited to, Fab, Fab’ and F(ab’)2, Fd, single chain Fvs (scFv), single chain antibodies, disulfide-linked Fvs (dsFv) and fragments comprising either a VL or VH region. Epitope-binding fragments, including single chain antibodies, may comprise the variable region(s) alone or in combination with all or part of the following: hinge region, CH1, CH2 and CH3 domains. ;;Such fragments may contain one or both Fab fragments or the F(ab’)2 fragment. Preferably, antibody fragments contain all six CDRs of the entire antibody, although fragments containing fewer than all such regions as three, four or five CDRs are also functional. Furthermore, the fragments may be per se or combine members of any of the following immunoglobulin classes: IgG, IgM, IgA, IgD or IgE, and subclasses thereof. ;;Fab and F(ab')2 fragments can be prepared by proteolytic cleavage, using enzymes such as papain (Fab fragments) and pepsin (F(ab')2 fragments). ;;"Single chain FVer" ("scFver") fragments are epitope-binding fragments that contain at least one fragment of an antibody heavy chain variable region (VH) linked to at least one fragment of an antibody light chain variable region (VL). The linker may be a short, flexible peptide selected to ensure that the correct three-dimensional folding of the VL and VH regions occurs once they are joined to maintain the target binding specificity of the whole antibody from which the single chain antibody fragment is derived. The carboxyl terminus of the VL or VH sequence may be covalently linked by a linker to the amino acid terminus of a complementary VL or VH sequence. ;;Single chain antibody fragments contain amino acid sequences with at least one of the variable or complementarity determining regions (CDRs) of the whole antibodies as described in the specification, but lack some or all of the constant domains of these antibodies. These constant domains are not required for antigen binding, but constitute a major portion of the structure of the whole antibodies. Single chain antibody fragments may therefore overcome some of the problems associated with the use of antibodies containing part or all of a constant domain. For example, single chain antibody fragments tend to be free of unwanted interactions between biological molecules and the heavy chain constant region, or other unwanted biological activity. In addition, single chain antibody fragments are significantly smaller than whole antibodies, and therefore may have a greater capillary permeability than whole antibodies, allowing single chain antibody fragments to localize and bind to target antigen binding sites more efficiently. Furthermore, antibody fragments can be produced on a relatively small scale in prokaryotic cells, which facilitates their production. Furthermore, the relatively small size of single chain antibody fragments makes them less likely to elicit an immune response in a recipient compared to whole antibodies. ;;Single chain antibody fragments can be generated by molecular cloning, antibody phage display libraries, or similar techniques well known to those skilled in the art. These proteins can be produced, for example, in eukaryotic cells or prokaryotic cells, including bacteria. The epitope-binding fragments can also be generated using various phage display methods, as is well known in the art. In phage display methods, functional antibody domains are displayed on the surface of the phage particle carrying the polynucleotide sequences encoding them. In particular, such a phage can be used to display epitope-binding domains expressed from a repertoire or a combinatorial antibody library (e.g., human or murine). Phage expressing an epitope-binding domain that binds the antigen of interest can be selected or identified with antigen, for example, using labeled antigen bound to or captured on a solid surface or a bead. Phage used in these methods is typically a filamentous phage including fd and M13-binding domains expressed from phage with Fab, Fv, or disulfide-stabilized F antibody domains recombinantly fused to either the phage gene III or gene VIII protein. Examples of phage display methods that can be used to prepare the epitope binding fragments include those described in Brinkman et al., 1995, J. Immunol. Methods, 182: 41-50; Ames et al., 1995, J. Immunol. Methods, 184: 177-186; ; Kettleborough et al., 1994, Eur. J. Immunol., 24: 952-958; Persic et al., 1997, Gene, 187: 9-18; Burton et al., 1994, Advances in Immunology, 57: 191-280; WO/1992/001047; WO 90/02809; WO 91/10737; WO 92/01047; WO 92/18619; WO 93/11236; WO 95/15982; WO 95/20401; and US patent no. 5,698,426; 5223 409; 5403 484; 5580 717; 5427 908; 5750 753; 5821 047; 5571 698; 5427 908; 5516 637; 5,780,225; 5658 727; 5733 743 and 5969 108. ;After phage selection, the regions of the phage encoding the fragments can be isolated and used to generate the epitope-binding fragments via expression in a selected host, including mammalian cells, insect cells, plant cells, yeast and bacteria, using recombinant DNA technology, for example as described in detail below. For example, techniques for recombinantly producing Fab, Fab' and F(ab')2 fragments can also be used using methods that are well known and as described in WO 92/22324; Mullinax et al., 1992, BioTechniques, 12(6): 864-869; Sawai et al., 1995, AJRI, 34: 26-34; and Better et al., 1988, Science, 240:1041-1043. Examples of techniques that can be used to prepare single chain Fver and antibodies include those described in U.S. Patent Nos. 4,946,778 and 5,258,498; Huston et al., 1991, Methods in Enzymology, 203:46-88; Shu et al., 1993, PNAS, 90:7995-7999; Skerra et al., 1988, Science, 240:1038-1040. ;;Cytotoxic conjugates are also described. These cytotoxic conjugates comprise two primary components, a cell binding agent and a cytotoxic agent. ;;As used herein, the term “cell binding agent” refers to an agent that specifically recognizes and binds the CD38 proteins on the cell surface. In one embodiment, the cell binding agent specifically recognizes CD38, allowing the conjugates to act in a targeted manner, with little side effects resulting from non-specific binding. ;;In another embodiment, the cell binding agent also specifically recognizes the CD38 protein, such that the conjugates will be in contact with the target cell for a sufficient period of time to allow the cytotoxic drug portion of the conjugate to act on the cell, and/or to allow the conjugates sufficient time to be internalized by the cell. ;;In a preferred embodiment, the cytotoxic conjugates comprise an anti-CD38 antibody as the cell binding agent antibody38SB19-, antibody is capable of specifically recognizing CD38 and directing the cytotoxic agent to an abnormal cell or tissue, such as cancer cells, in a targeted manner. ;;The second component of the cytotoxic conjugates is a cytotoxic agent. ;The term “cytotoxic agent,” as used herein, refers to a substance that reduces or blocks the function, or growth, of cells and/or causes destruction of cells. ;In preferred embodiments, the cytotoxic agent is a small drug, a prodrug, a taxoid, a maytansinoid such as DM1 or DM4, a tomaymycin derivative, a leptomycin derivative, CC-1065, or a CC-1065 analog. In preferred embodiments, the cell binding agent is covalently attached, directly or via a cleavable or non-cleavable linker, to the cytotoxic agent. ;;The cell binding agents, cytotoxic agents, and linkers are discussed in greater detail below. ;;Cell Binding Agents ;The effectiveness of the compounds of the disclosure as therapeutic agents depends on the careful selection of a suitable cell binding agent. Cell binding agents may be of any type known today, or that becomes known, and include peptides and non-peptides. The cell binding agent may be any compound that can bind a cell, either specifically or non-specifically. In general, these may be antibodies (especially monoclonal antibodies), lymphokines, hormones, growth factors, vitamins, nutrient transport molecules (such as transferrin), or any other cell binding molecule or such substance. ;;More specific examples of cell binding agents that may be used include: ;a) polyclonal antibodies; ;;b) monoclonal antibodies; ;;c) fragments of antibodies such as Fab, Fab' and F(ab')2, Fv (Parham, 1983, J. ;Immunol., 131: 2895-2902; Spring et al., 1974, J. Immunol., 113: 470-478; Nisonoff et al., 1960, Arch. Biochem. Biophys., 89: 230-244). ;;In particular, an anti-CD38 monoclonal antibody selected from 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 may be used as a cell binding agent. Likewise, said cell binding agent may be a chimeric version of one of the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 monoclonal antibodies. Preferably, a humanized anti-CD38 antibody is used as a cell binding agent. More particularly, the humanized anti-CD38 antibody is selected from humanized or resurfaced 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies. ;Cytotoxic Agents ;In a further embodiment, the humanized antibody may be conjugated to a drug such as a maytansinoid, to provide a prodrug with specific cytotoxicity against antigen-expressing cells by targeting the drug to the CD38 protein. ;Cytotoxic conjugates comprising such antibodies and a low and high toxicity drug (e.g., maytansinoids, taxanes, tomaymycin derivatives, leptomycin derivatives, and CC-1065 analogs) may be used as a therapeutic for the treatment of tumors such as lymphoma, leukemia, and multiple myeloma. ;The cytotoxic agent used in the cytotoxic conjugate may be any compound that results in the death of a cell, or induces cell death, or in some way reduces cell viability. Preferred cytotoxic agents include, for example, maytansinoids and maytansinoid analogs, taxoids, tomaymycin derivatives, leptomycin derivatives, CC-1065 and CC-1065 analogs, dolastatin and dolastatin analogs, as defined below. These cytotoxic agents are conjugated to the antibodies, antibody fragments, functional equivalents, improved antibodies and their analogs as described herein. ;;The cytotoxic conjugates can be prepared by in vitro methods. To link a drug or prodrug to the antibody, a linker group is used. Suitable linker groups are well known in the art and include disulfide groups, thioether groups, acid labile groups, photolabile groups, peptidase labile groups and esterase labile groups. Preferred linker groups are disulfide groups and thioether groups. For example, conjugates can be constructed using a disulfide exchange reaction or by forming a thioether bond between the antibody and the drug or prodrug. ;;Maytansinoids ;Among the cytotoxic agents that can be used according to the disclosure to provide a cytotoxic conjugate are maytansinoids and maytansinoid analogs. Examples of suitable maytansinoids include maytansinol and maytansinol analogs. Maytansinoids are drugs that inhibit microtubule formation and are highly toxic to mammalian cells. ;;Examples of suitable maytansinol analogs include those with a modified aromatic ring, and those with modifications at other positions. Such suitable maytansinoids are described in US 4,424,219, 4,256,746, 4,294,757, 4,307,016, 4,313,943, 4,315,929, 4,331,598, 4,361,650, 4,362,663, 4,364,866, 4,450,254, 4,322,348, 4,371,533, ;6,333,410, 5,475,092, 5,585,499 and 5,846,545. ;;Specific examples of suitable analogs of maytansinol with a modified aromatic ring include: ;;(1) C-19-dechloro (US 4256 746) (prepared by LAH reduction of ansamytocin P2); ;;(2) C-20-hydroxy (or C-20-demethyl) /- C-19-dechloro (US 4361 650 and ;4 307 016) (prepared by demethylation using Streptomyces or Actinomyces or dechlorination using LAH); and ;;(3) C-20-demethoxy, C-20-acyloxy (-OCOR), /- dechloro (US 4294 757) (prepared by acylation using acyl chlorides). ;;Specific examples of suitable analogs of maytansinol with modifications at other positions include: ;;(1) C-9-SH (US 4424 219) (prepared by reacting maytansinol with H2S or P2S5); ;;(2) C-14-alkoxymethyl (demethoxy/CH2OR) (US 4331 598); ;;(3) C-14-hydroxymethyl or acyloxymethyl (CH2OH or CH2OAc) (US ;4 450 254) (prepared from Nocardia); ;;(4) C-15-hydroxy/acyloxy (US 4364 866) (prepared by converting maytansinol with Streptomyces); ;;(5) C-15-methoxy (US 4313 946 and 4315 929) (isolated from Trewia nudiflora); ;;(6) C-18-N-demethyl (US 4362 663 and 4322 348) (prepared by demethylation of maytansinol with Streptomyces); and ;(7) 4,5-deoxy (US 4371 533) (prepared by titanium trichloride/LAH reduction of maytansinol). ;;In a preferred embodiment, the cytotoxic conjugates utilize the thiol-containing maytansinoid (DM1), formally called N2’-deacetyl-N2’-(3-mercapto-1-oxopropyl)-maytansine, as the cytotoxic agent. DM1 is represented by the following structural formula (I): ;;;;;;In another preferred embodiment, the cytotoxic conjugates utilize the thiol-containing maytansinoid N2'-deacetyl-N-2'(4-methyl-4-mercapto-1-oxopentyl)-maytansine as the cytotoxic agent. DM4 is represented by the following structural formula (II): ;;;;;;In further embodiments, other maytansines including thiol- and disulfide-containing maytansinoids bearing a mono- or dialkyl substitution on the carbon atom bearing the sulfur atom may be utilized. These include a maytansinoid having, at C-3, C-14 hydroxymethyl, C-15 hydroxy or C-20 desmethyl, an acylated amino acid side chain with an acyl group bearing a hindered sulfhydryl group where the carbon atom of the acyl group bearing the thiol functionality has one or two substituents, and where the substituent is CH3, CH2H5, straight or branched alkyl or alkenyl of 1 to 10 carbon atoms, cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic, aromatic or heterocycloalkyl residues, and further where one of the substituents may be H, and where the acyl group has a linear chain length of at least three carbon atoms, between the carbonyl functionality and the sulfur atom. ;;Such additional maytansines include compounds represented by formula (III): ;;;;;wherein: ;;Y’ represents (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r(CΞC)sBt(CR3R4)nCR1 R2SZ, ;;wherein: ;;R1 and R2 are each independently CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic, aromatic or heterocycloalkyl, and in addition R2 may be H; ;;A, B, D are cycloalkyl or cycloalkenyl of 3 to 10 carbon atoms, single or substituted aryl or heterocyclic, aromatic or heterocycloalkyl; ;R3, R4, R5, R6, R7, R8, R9, R11 and R12 are each independently H, CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl; ;;l, m, n, o, p, q, r, s and t are each independently 0 or an integer from 1 to 5, provided that at least two of l, m, n, o, p, q, r, s and t are not zero at any time; and ;;Z is H, SR or -COR, where R is linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic including heterocycloalkyl. ;;Preferred embodiments of formula (III) include compounds of formula (III), wherein: ;;R1 is H, R2 is methyl and Z is H; ;R1 and R2 are methyl and Z is H; ;R1 is H, R2 is methyl and Z is –SCH3; ;R1 and R2 are methyl and Z is –SCH3. ;;Such additional maytansines also include compounds represented by formula (IV-L), (IV-D) or (IV-D,L): ;;;;;;(IV-L) (IV-D) (IV-D,L) ;;wherein: ;;Y is (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ, ;;wherein: ;R1 and R2 are each independently CH3, C2H5, linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl, and in addition R2 may be H; ;;R3, R4, R5, R6, R7 and R8 are each independently H, CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl; ;;l, m and n are each independently an integer from 1 to 5, and in addition n may be 0; ;;Z is H, SR or –COR, where R is linear or branched alkyl or alkenyl of from 1 to 10 carbon atoms, cyclic alkyl or alkenyl of 3 to 10 carbon atoms, or simple or substituted aryl, or heterocyclic aromatic or heterocycloalkyl; and ;;May represents a maytansinoid bearing the side chain at C-3, C-14 hydroxymethyl, C-15 hydroxy or C-20 desmethyl. ;;Preferred embodiments of formulas (IV-L), (IV-D) and (IV-D,L) include compounds of formulas (IV-L), (IV-D) and (IV-D,L) wherein: ;;R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 and R 8 are each H, l and m are each 1, n is 0 and z is H; R1 and R2 are methyl, R5, R6, R7, R8 are each H, l and m are 1, n is 0 and Z is H; ;;R1 is H, R2 is methyl, R5, R6, R7, R8 are each H, l and m are each 1, n is 0 and Z is –SCH3; ;;R1 and R2 are methyl, R5, R6, R7, R8 are each H, l and m are 1, n is 0 and Z is –SCH3. ;;Preferably, the cytotoxic agent is represented by formula (IV-L). ;Such additional maytansines also include compounds represented by formula (V): ;;;;;;wherein: ;;Y is (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ, ;;wherein: ;;R1 and R2 are each independently CH3, C2H5, linear alkyl or alkenyl having from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl having 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl, and in addition R2 may be H; ;;R3, R4, R5, R6, R7 and R8 are each independently H, CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl; ;;l, m and n are each independently an integer from 1 to 5, and in addition n may be 0; and ;;Z is H, SR or -COR, where R is linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic including heterocycloalkyl. ;;Preferred embodiments of formula (V) include compounds of formula (V), wherein: ;R 1 is H, R 2 is methyl, R 5 , R 6 , R 7 and R 8 are each H; l and m each are 1; n is 0; and Z is H; R1 and R2 are methyl, R5, R6, R7 and R8 are each H, l and m are 1; n is 0; and Z is H; ;;R1 is H, R2 is methyl, R5, R6, R7 and R8 are each H, l and m are each 1, n is 0 and Z is –SCH3; ;;R1 and R2 are methyl, R5, R6, R7 and R8 are each H, l and m are 1, n is 0 and Z is –SCH3. ;;Such additional maytansines further include compounds represented by the formula (VI-L), (VI-D) or (VI-D,L): ;;;;;(VI-L) (VI-D) (VI-D, L) ;;wherein: ;;Y2 is (CR7R8)l(CR5R6)m(CR3R4)nCR1R2SZ2, ;;wherein: ;;R1 and R2 are each independently CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl, and in addition R2 may be H; ;;R3, R4, R5, R6, R7 and R8 are each independently H, CH3, C2H5, linear, cyclic alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl; ;;l, m and n are each independently an integer from 1 to 5, and in addition n can be 0; ;Z2 is SR or COR, where R is a linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl; and ;;May is a maytansinoid. ;;Such additional maytansines also include compounds represented by formula (VII): ;;;;;wherein: ;;Y2’ is (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r (CΞC)sBt(CR3R4)nCR1R2SZ2, ;;wherein: ;;R1 and R2 are each independently CH3, C2H5, linear, branched alkyl or alkenyl of 1 to 10 carbon atoms, cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl, and in addition R2 may be H; ;;A, B and D are each independently cycloalkyl or cycloalkenyl of 3 to 10 carbon atoms, simple or substituted aryl, heterocyclic aromatic or heterocycloalkyl; ;R3, R4, R5, R6, R7, R8, R9, R11 and R12 are each independently H, CH3, C2H5, linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl; ;;l, m, n, o, p, q, r, s and t are each independently 0 or an integer from 1 to 5, provided that at least two of l, m, n, o, p, q, r, s and t are not 0 at the same time; and ;;Z2 is SR or -COR, where R is linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, or simple or substituted aryl or heterocyclic aromatic or heterocycloalkyl. ;;Preferred embodiments include compounds of formula (VII) wherein R1 is H and R2 is methyl. ;;The above-mentioned maytansinoids may be conjugated to an anti-CD38 antibody 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 or 38SB39 or a homolog or fragment thereof, wherein the antibody is linked to the maytansinoid using the thiol or disulfide functionality present on the acyl group of an acylated amino side chain found at C-3, C-14 hydroxymethyl, C-15 hydroxy or C-20 desmethyl of the maytansinoid, and wherein the acyl group in the acylated amino acid side chain has its thiol or disulfide functionality located on a carbon atom having one or two substituents, which are CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic or heterocycloalkyl, and in addition one of the substituents may be H, and wherein the acyl group has a linear chain length of at least three carbon atoms between the carbonyl functionality and the sulfur atom. ;A preferred conjugate is one comprising the anti-CD38 antibody 38SB19, conjugated to a maytansinoid of formula (VIII): ;;;;;wherein: ;;Y1’ is (CR7R8)l(CR9=CR10)p(CΞC)qAr(CR5R6)mDu(CR11=CR12)r (CΞC)sBt(CR3R4)nCR1R2S-, ;;wherein: ;;A, B and D are each independently cycloalkyl or cycloalkenyl of 3 to 10 carbon atoms, simple or substituted aryl or heterocyclic aromatic, or heterocycloalkyl; ;;R3, R4, R5, R6, R7, R8, R9, R11 and R12 are each independently H, CH3, C2H5, linear alkyl or alkenyl of from 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl; and ;;l, m, n, o, p, q, r, s and t are each independently 0 or an integer from 1 to 5, provided that at least two of l, m, n, o, p, q, r, s and t are not 0 simultaneously. ;It is preferred that R1 is H and R2 is methyl or R1 and R2 are methyl. ;;A still more preferred conjugate is one comprising anti-CD38 antibody 38SB19 conjugated to a maytansinoid of the formula (IX-L), (IX-D) or (IX-D,L): ;;;;wherein: ;;Y1 is (CR7R8)l(CR5R6)m(CR3R4)nCR1R2S-, ;;wherein: ;;R1 and R2 are each independently CH3, C2H5, linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of from 3 to 10 carbon atoms, phenyl, substituted phenyl, heterocyclic aromatic or heterocycloalkyl, and in addition R2 may be H; ;;R3, R4, R5, R6, R7 and R8 are each independently H, CH3, C2H5, linear alkyl or alkenyl of 1 to 10 carbon atoms, branched or cyclic alkyl or alkenyl of 3 to 10 carbon atoms, phenyl, substituted phenyl or heterocyclic aromatic including heterocycloalkyl; ;;l, m and n are each independently an integer from 1 to 5, and in addition n can be 9; and ;;May represents a maytansinol bearing the side chain at C-3, C-14 hydroxymethyl, C-15 hydroxy or C-20 desmethyl. ;;Preferred embodiments of formulas (IX-L), (IX-D) and (IX-D,L) include compounds of formulas (IX-L), (IX-D) and (IX-D,L) wherein: ;;R1 is H and R2 is methyl or R1 and R2 are methyl; ;;R1 is H, R2 is methyl, R5, R6, R7 and R8 are each H; l and m are each 0; n is 0; R1 and R2 are methyl; R5, R6, R7 and R8 are each H; l and m are 1; n is 0. ;;Preferably, the cytotoxic agent is represented by formula (IX-L). ;;A further preferred conjugate is one comprising the anti-CD38 antibody 38SB19 conjugated to a maytansinoid of formula (X): ;;;;;wherein the substituents are as defined for formula (IX) above. ;;Especially preferred is any of the above-described compounds, wherein R1 is H, R2 is methyl, R5, R6, R7 and R8 are each H, l and m are each 1 and n is 0. ;;Furthermore especially preferred is any of the above-described compounds, wherein R1 and R2 are methyl, R5, R6, R7, R8 are each H, l and m are 1 and n is 0. ;;Furthermore, the L-aminoacyl stereoisomer is preferred. ;;Any of the maytansinoids described in US application 10/84136 of May 20, 2004, can also be used in the cytotoxic conjugate. ;Disulfide-containing linker groups ;To connect the maytansinoid to a cell binding agent such as the 28SB13, 38SB18, 38SB19, 38SB30, 38SB31 or 38SB39 antibody, the maytansinoid comprises a linker moiety. This linker moiety contains a chemical bond that allows for the release of fully active maytansinoids at a specific site. Suitable chemical bonds are well known in the art and include disulfide bonds, acid labile bonds, photolabile bonds, peptidase-labile bonds and esterase-labile bonds. Disulfide bonds are preferred. ;;The linker moiety also comprises a reactive chemical group. The reactive chemical group may be covalently linked to the maytansinoid via a disulfide bond linker moiety. ;;Especially preferred reactive chemical groups are N-succinimidyl esters and N-sulfosuccinimidyl esters. ;;Especially preferred maytansinoids comprise a linker moiety containing a reactive chemical group and are C-3 esters of maytansinol and its analogs wherein the linker moiety contains a disulfide bond and a chemically reactive group comprising an N-succinimidyl or N-sulfosuccinimidyl ester. ;;Many positions on maytansinoids can serve as positions for chemically linking the linker moiety. For example, the C-3 position is a hydroxyl group, the C-14 position is modified with hydroxymethyl, the C-15 position is modified with hydroxy, and the C-20 position is a hydroxy group, or are expected to be useful. However, the C-3 position is preferred and the C-3 position of maytansinol is particularly preferred. ;;While the synthesis of esters of maytansinol with a linker moiety is described in terms of disulfide bond-containing linker moieties, those skilled in the art will appreciate that linker moieties with other chemical linkages (as described above) may also be utilized in the same manner as other maytansinoids. Specific examples of other chemical linkages include acid-labile linkages, peptidase-labile linkages, and esterase-labile linkages. The disclosure in US 5,208,020 teaches the preparation of maytansinoids having such linkages. ;;The synthesis of maytansinoids and maytansinoid derivatives with a disulfide moiety bearing a reactive group is described in US 6,441,163 and 6,333,410 as well as US application 10/161,651. ;;Maytansinoids containing the reactive group such as DM1 are reacted with an antibody such as 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 or 38SB39 antibody to give cytotoxic conjugates. These conjugates can be purified by HPLC or gel filtration. ;Several excellent schemes for preparing such antibody-maytansinoid conjugates are provided in US 6333 410 as well as in US applications 09/867598, 10/161651 and 10/024 290. ;;In general, a solution of an antibody in aqueous buffer can be incubated with a molar excess of maytansinoid having a disulfide moiety bearing a reactive group. ;The reaction mixture can be quenched by the addition of an excess of amine (such as ethanolamine, taurine, etc.). The maytansinoid-antibody conjugate can then be purified by gel filtration. ;;The number of maytansinoid molecules bound per antibody molecule can be determined by spectrophotometrically measuring the ratio of absorbance at 252 nm to 280 nm. An average of 1-10 maytansinoid molecules per antibody molecule is preferred. ;;Conjugates of antibodies with maytansinoid drugs can be evaluated for their ability to suppress proliferation of various unwanted cell lines in vitro. For example, cell lines such as the human lymphoma cell line Daudi, the human lymphoma cell line Ramos, the human multiple myeloma cell line MOLP-8, and the human T-acute lymphocytic leukemia line MOLT-4 can readily be used to assess the cytotoxicity of these compounds. Cells for evaluation can be exposed to the compound for 24 hours and the surviving percentages of cells measured in direct assays in a manner known per se. IC50 values can then be calculated from the results of these assays. ;;PEG-Containing Linker Groups ;Maytansinoids can also be linked to cell binding agents using PEG linker groups as disclosed in U.S. Application No. 10/024,290. These PEG linker groups are soluble in both water and non-aqueous solvents, and can be used to link one or more cytotoxic agents to a cell binding agent. Examples of PEG linker groups include heterobifunctional PEG linkers that link to cytotoxic agents and cell binding agents at opposite ends of the linker via a functional sulfhydryl or disulfide group on one end, and an active ester on the other end. ;;As a general example of the synthesis of a cytotoxic conjugate using a PEG linker group, reference is again made to U.S. Application No. 10/024,290 for specific details. The synthesis begins with the reaction of one or more cytotoxic agents bearing a reactive PEG moiety with a cell binding agent, resulting in the displacement of the terminal active ester of each reactive PEG moiety by an amino acid residue from the cell binding agent, thereby providing a cytotoxic conjugate comprising one or more cytotoxic agents covalently linked to a cell binding agent via a PEG linker group. ;;Taxanes ;The cytotoxic agent used in the cytotoxic conjugates of the disclosure may also be a taxane or a derivative thereof. ;;Taxanes are a family of compounds that include paclitaxel (Taxol), a cytotoxic natural product, and docetaxel (Taxotere), a semi-synthetic derivative, two compounds that are widely used in the treatment of cancer. Taxanes are mitotic spindle poisons that inhibit the depolymerization of tubulin and result in cell death. While docetaxel and paclitaxel are useful agents in the treatment of cancer, their antitumor activity is limited due to their non-specific toxicity against normal cells. Furthermore, compounds such as paclitaxel and docetaxel are not sufficiently potent per se to be used in conjugates of cell binding agents. ;;A preferred taxane for use in the preparation of cytotoxic conjugates is a taxane of formula (XI): ;;;;;;Methods for synthesizing taxanes that can be used in the cytotoxic conjugates, together with methods for conjugating the taxanes to cell binding agents such as antibodies, are described in detail in US 5,416,064, 5,475,092, 6,340,701, 6,372,738 and 6,436,931 as well as in US applications 10/024290, 10/144042, 10/207814, 10/210112 and 10/369,563. ;Tomaymycin Derivatives ;The cytotoxic agents may also comprise a tomaymycin derivative. Tomaymycin derivatives are pyrrolo[1,4]benzodiazepines (PBDs), a known class of compounds that exert their biological properties by covalently binding to the N2 of guanine in the minor groove of DNA. PBDs include a number of minor groove binders such as anthramycin, neotramycin and DC-81. ;;New tomaymycin derivatives that retain high cytotoxicity and can be effectively linked to cell binding agents are described in PCT/IB2007/000142. ;The cell binding agent-tomaymycin derivative complexes allow the full cytotoxic effect of the tomaymycin derivatives to be applied in a targeted manner only to unwanted cells, thereby avoiding side effects due to damage to untargeted, healthy cells. ;;The cytotoxic agent according to the disclosure comprises one or more tomaymycin derivatives, linked to a cell binding agent such as the 38SB19 antibody, via a linker group. This is part of a chemical moiety that is covalently linked to a tomaymycin derivative in a manner known per se. In a preferred embodiment, the chemical moiety may be covalently linked to the tomaymycin derivative via a disulfide bond. ;;The tomaymycin derivatives useful according to the disclosure have formula (XII), as shown below: ;;;;;;where ;;----- represents an optional single bond; ;;----- represents either a single or a double bond; ;provided that when ----- represents a single bond, U and U', the same or different, independently represent H, and W and W', the same or different, independently are selected from the group consisting of OH, an ether such as -OR, an ester (for example an acetate) such as -OCOR, a carbonate such as -OCOOR, a carbamate such as -OCONRR', a cyclic carbamate such as -OCONRR', a urea such as -NRCONRR', a thiocarbamate such as -OCSNHR, a cyclic thiocarbamate such as -SH, a sulfide such as -SR, a sulfoxide such as -SOR, a sulfone such as -SOOR, a sulfonate such as -SO3, a sulfonamide such as -NRSOOR, an amine such as -NRR', optionally a cyclic amine such as N10 and C11 are part of the cycle, a hydroxylamine derivative such as -NROR', an amide such as -NRCOR, an azido such as –N3, a cyano-, a halo-, a trialkyl- or triarylphosphonium-, or an amino acid-derived group; preferably W and W’ are the same or different and are OH, Ome, Oet, NHCONH2, SMe; ;;and when ----- is a double bond, U and U’ are absent and W and W’ represent H; ;;R1, R2, R1’ and R2’ are the same or different and independently are selected from halide or alkyl optionally substituted with one or more Hal, Cn, NRR’, CF3, OR, aryl, Het, S(O)qR, or R1 and R2 and R1’ and R2’ together form a double bond-containing group =B, respectively =B’; ;;Preferably R1 and R2 and R1’ and R2’ together form a double bond-containing group =B, respectively =B’; ;;B and B’ are the same or different and independently selected from alkenyl optionally substituted with one or more Hal, CN, NRR’, CF3, OR, aryl, Het, S(O)qR or B and B’ represent an oxygen atom; ;;Preferably B=B’. ;;More preferably B=B’= =CH2 or =CH-CH3, ;;X, X’ are the same or different and independently selected from one or more of –O-, -NR-, -(C=O)-, -S(O)q-. ;Preferably X=X’. ;;More preferably X=X’=O. ;A, A’ are the same or different and independently selected from alkyl or alkenyl independently containing an oxygen, nitrogen or sulfur atom, each optionally substituted with one or more Hal, CN, NRR’, CF3, OR, S(O)qR, aryl, Het, alkyl, alkenyl. ;;Preferably A=A’. ;;More preferably A=A’=linear, unsubstituted alkyl. ;;Y, Y’ are the same or different and independently selected from H or OR. ;;Preferably Y=Y’. ;;Most preferably Y=Y’=OAlkyl, and especially OMethyl. ;;T is –NR-, -O-, -S(O)q- or a 4- to 10-membered aryl, cycloalkyl, heterocycle or heteroaryl, each optionally substituted with one or more Hal, CN, NRR’, CF3, R, OR, S(O)qR and/or one or more linkers, or a branched alkyl, optionally substituted with one or more Hal, CN, NRR’, CF3, OR, S(O)qR and/or one or more linkers, or a linear alkyl substituted with one or more Hal, CN, NRR’, CF3, OR, S(O)qR and/or one or more linkers. ;;Preferably T is a 4- to 10-membered aryl or heteroaryl, more particularly phenyl or pyridyl, optionally substituted with one or more linkers. ;;Said linker comprises a connecting group. Suitable ones are well known in the art and include thiol, sulfide or disulfide groups, thioether groups, acid labile groups, photolabile groups, peptidase labile groups and esterase labile groups. Disulfide groups and thioether groups are preferred. ;;When the linker group is a thiol-, sulfide- (so-called thioether-S-) or disulfide (-S-S-)-containing group, the side chain carrying the thiol, sulfide or disulfide group may be straight or branched, aromatic or heterocyclic. Suitable side chains can be readily identified by those skilled in the art. ;;Preferably, the linker has the formula: ;;-G-D-(Z)p-S-Z’ ;;where ;;G is a single or double bond, -O-, -S- or –NR-; ;;D is a single bond or –E-, -E-NR-, -E-NR-F-, -E-O-, -E-O-F-, -E-NR-CO-, -E-NR-CO-F-, -E-CO-, -CO-E-, -E-CO-F, -E-S-, -E-S-F-, -E-NR-C-S-, -E-NR-CS-F-; ;;where E and F are the same or different and are independently selected from linear or branched –(OCH2CH2)iAlkyl(OCH2CH2)j-, -Alkyl(OCH2CH2)i-Alkyl-, -(OCH2CH2)i-, -(OCH2CH2)iCycloalkyl(OCH2CH2)j-, -(OCH2CH2)iHeterocycle(OCH2CH2)j-, -(OCH2CH2)iAryl(OCH2CH2)j-, -(OCH2CH2)iHeteroaryl(OCH2CH2)j-, –Alkyl-(OCH2CH2)iAlkyl(OCH2CH2)j-, -Alkyl-(OCH2CH2)i-, -Alkyl-(OCH2CH2)i-Cycloalkyl(OCH2CH2)j-, -Alkyl(OCH2CH2)iHeterocycle(OCH2CH2)j-, -Alkyl-(OCH2CH2)iAryl(OCH2CH2)j-, -Alkyl(OCH2CH2)iHeteroaryl(OCH2CH2)j-, -Cycloalkyl-Alkyl-, -Alkyl-Cycloalkyl-, -Heterocycle-Alkyl-, -Alkyl-Heterocycle-, -Alkyl-Aryl-, -Aryl-Alkyl-, -Alkyl-Heteroaryl-, -Heteroaryl-Alkyl-; ;;wherein i and j, the same or different, are integers and are independently selected from 0, 1 to 2000; ;;Z is straight or branched alkyl; ;;p is 0 or 1; ;;Z’ is H, a thiol protecting group such as COR, R20 or SR20, where R20 is H, methyl, alkyl, optionally substituted cycloalkyl, aryl, heteroaryl or heterocycle, provided that when Z’ is H, the compound is in equilibrium with the corresponding compound formed by intramolecular cyclization resulting from the addition of the thiol group –SH to the imine bond –NH= of one of the PBD moieties; ;n, n’ are the same or different and are 0 or 1; ;;q is 0, 1 or 2; ;;R, R’ are the same or different and are independently selected from H, alkyl, aryl, each optionally substituted with Hal, CN, NRR’, CF3, R, OR, S(O)qR, aryl, Het; ;or their pharmaceutically acceptable salts, hydrates or hydrated salts, or polymorphic, crystalline structures of these compounds, or their optical isomers, racemates, diastereomers or enantiomers. ;;The compounds of the general formula (XII) with geometric and stereoisomers are also part of the description. ;;The N.10, C-11 double bond in the tomaymycin derivatives of formula (XII) is known to be readily convertible in a reversible manner to the corresponding imine adducts in the presence of water, an alcohol, a thiol, a primary or secondary amine, urea and other nucleophiles. This process is reversible and can readily regenerate the corresponding tomaymycin derivative in the presence of a dehydrating agent in a non-protic organic solvent, under vacuum or at elevated temperatures (Z. Tozuka, 1983, J. Antibiotics, 36: 276). ;;Thus, reversible derivatives of tomaymycin derivatives of the general formula (XIII) can also be used: ;;;;;;where A, X, Y, n T, A', X', Y', n', R1, R2, R1', R2' are defined as under formula (XII) and W and W' are the same or different and are selected from the group consisting of OH, an ether such as -OR, an ester (for example an acetate) such as -OCOR, -COOR, a carbonate such as -OCOOR, a carbamate such as -OCONRR', a cyclic carbamate such as N10 and C11 are part of the ring, a urea such as -NRCONRR', a thiocarbamate such as -OCSNHR, a cyclic thiocarbamate such as N10 and C11 are part of the ring, -SH, a sulfide such as -SR, a sulfoxide such as -SOR, a sulfone such as -SOOR, a sulfonate such as -SO3-, a sulfonamide such as –NRSOOR, an amine such as –NRR’, optionally a cyclic amine such that N10 and C11 are part of the cycle, a hydroxylamine derivative such as –NROR’, an amide such as –NRCOR, -NRCONRR’, an azido such as –NR, a cyano, halo, trialkyl or triarylphosphonium, an amino acid derived group. Preferably W and W’ are the same or different and are OH, Ome, Oet, NHCONH2, SMe. ;;Compounds of formula (XIII) may thus be considered as solvates which include water when the solvent is water, these solvates may be particularly useful. ;In a preferred embodiment, the tomaymycin derivatives according to the invention are selected from the group comprising: ;;8,8’-[1,3-benzenediylbis(methyleneoxy)]-bis[(S)-2-eth-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-one]; ;;8,8’-[5-methoxy-1,3-benzenediylbis(methyleneoxy)]-bis[(S)-2-eth-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepin-5-one]; ;;8,8'-[1,5-pentanediylbis(oxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[1,4-butanediylbis(oxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[3-methyl-1,5-pentanediylbis(oxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11atetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[2,6-pyridinediylbis(oxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11atetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[4-(3-tert-butoxycarbonylaminopropyloxy)-2,6-pyridinediylbis-(methyleneoxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]-benzodiazepine-5-one]; ;;8,8'-[5-(3-aminopropyloxy)-1,3-benzenediylbis(methyleneoxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; 8,8'-[5-(N-methyl-3-tert-butoxycarbonylaminopropyl)-1,3-benzenediylbis-(methyleneoxy)]-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-{5-[3-(4-methyl-4-methyldisulfanylpentanoylamino)propyloxy]-1,3-benzenediylbis-(methyleneoxy)}-bis[(S)-2-et-(E)-ylidene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[5-acetylthiomethyl-1,3-benzenediylbis(methyleneoxy)]-bis[(S)-2-methylene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;bis-{2-[(S)-2-methylene-7-methoxy-5-oxo-1,3,,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]-benzodiazepine-8-yloxy]-ethyl}-carbamic acid tert-butyl ester; ;;8,8'-[3-(2-acetylthioethyl)-1,5-pentanediylbis(oxy)]-bis[(S)-2-methylene-7-methoxy-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[5-(N-4-mercapto-4,4-dimethylbutanoyl)amino-1,3-benzenediylbis(methyleneoxy)]-bis[7-methoxy-2-methylene-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[5-(N-4-methyldithio-4,4-dimethylbutanoyl)-amino-1,3-benzenediylbis(methyleneoxy)]-bis[7-methoxy-2-methylene-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[5-(N-methyl-N-(2-mercapto-2,2-dimethylethyl)amino-1,3-benzenediyl(methyleneoxy)]-bis[7-methoxy-2-methylene-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[5-(N-methyl-N-(2-methyldithio-2,2-dimethylethyl)amino-1,3-benzenediyl(methyleneoxy)]-bis[7-methoxy-2-methylene-1,2,3,11a-tetrahydro-5H-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(4-(2-(4-mercapto-4-methyl)-pentanamidoethoxy)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;8,8'-[(1-(2-(4-methyl-4-methyldisulfanyl)-pentanamidoethoxy)-benzene-3,5-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]-benzodiazepine-5-one]; ;;8,8'-[(4-(3-(4-methyl-4-methyldisulfanyl)-pentanamidopropoxy)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4] benzodiazepine-5-one]; ;8,8'-[(4-(4-(4-methyl-4-methyldisulfanyl)-pentanamidobutoxy)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]-benzodiazepine-5-one]; ;;8,8'-[(4-(3-[4-(4-methyl-4-methyldisulfanylpentanoyl)-piperazin-1-yl]-propyl)-pyridin-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(1-(3-[4-(4-methyl-4-methyldisulfanylpentanoyl)-piperazin-1-yl]-propyl)-benzene-3,5-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(4-(2-{2-[2-(4-methyl-4-methyldisulfanylpentanoylamino)-ethoxy]-ethoxy}-ethoxy)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(1-(2-{2-[2-(2-{2-[2-(4-methyl-4-methyldisulfanylpentanoylamino)-ethoxy]-ethoxy}-ethoxy)-ethoxy]-ethoxy}-ethoxy)-be nzen-3,5-dimethyl)-dioxy]-bis[(S)-2-eth-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(1-(2-{2-[2-(4-methyl-4-methyldisulfanylpentanoylamino)-ethoxy]-ethoxy}-ethoxy)-benzene-3,5-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(4-(2-{2-[2-(2-{2-[2-(4-methyl-4-methyldisulfanylpentanoylamino)-ethoxy]-ethoxy}-ethoxy)-ethoxy]-ethoxy}-ethoxy)-py ridin-2,6-dimethyl)-dioxy]-bis[(S)-2-eth-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; 8,8'-[(1-(2-[methyl-(2-methyl-2-methyldisulfanylpropyl)-amino]-ethoxy)-benzene-3,5-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydro-pyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8'-[(4-(3-[methyl-(4-methyl-4-methyldisulfanylpentanoyl)-amino]-propyl)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;8,8'-[(4-(3-[methyl-(2-methyl-2-methyldisulfanylpropyl)-amino]-propyl)-pyridine-2,6-dimethyl)-dioxy]-bis[(S)-2-et-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one]; ;;8,8’-[(1-(4-methyl-4-methyldisulfanyl)-pentanamido)-benzene-3,5-dimethyl)-dioxy]-bis[(S)-2-eth-(E)-ylidene-7-dimethoxy-1,2,3,11a-tetrahydropyrrolo[2,1-c][1,4]benzodiazepine-5-one] ;;as well as the corresponding mercapto derivatives, or their pharmaceutically acceptable salts, hydrates or hydrated salts, or the polymorphic, crystalline structures of these compounds, or their optical isomers, racemates, diastereomers or enantiomers. ;;Preferred compounds are those of the formula: ;;;;or ;;;;;wherein X, X’, A, A’, Y, Y’ ̈, T, n, n’ are as defined above. ;;The compounds of formula (XII) can be prepared in a number of ways well known to those skilled in the art. The compounds can be synthesized, for example, by using or adapting methods as described below, or variations thereof as will be known to the skilled person. The appropriate modifications and substitutions will be readily apparent and well known or can be readily obtained from the scientific literature, to those skilled in the art. In particular, such methods can be found in R.C. Larock, Comprehensive Organic Transformations, Wiley-VCH Publishers, 1999. ;;Methods for synthesizing tomaymycin derivatives that can be used are described in PCT/IB2007/000142. Compounds according to the disclosure can be prepared by a number of synthetic routes. The reagents and starting materials are commercially available, or can be readily synthesized by techniques known per se to those skilled in the art (see, for example, WO 00/12508, WO 00/12507, WO 2005/040170, WO 2005/085260, FR1516743, M. Mori et al., 1986, Tetrahedron, 42: 3793-3806). ;;The conjugate molecules of the disclosure can be formed using any technique. The tomaymycin derivatives can be linked to an antibody or other cell-binding agent via an acid-labile linker, or via a photolabile linker. The derivatives can be condensed with a peptide of a suitable sequence and then coupled to a cell-binding agent to provide a peptidase-labile linker. The conjugates can be prepared to contain a primary hydroxyl group that can be succinylated and linked to a cell binding agent to give a conjugate that can be cleaved by intracellular esterases to release the free derivative. ;Preferably, the derivatives are synthesized to contain a free or protected thiol group, and then one or more disulfide or thiol-containing derivatives are each covalently linked to the cell binding agent via a disulfide bond or a thioether link. ;Numerous methods of conjugation are described in US 5,416,064 and 5,475,092. ;The tomaymycin derivatives can be modified to give a free amino group and then linked to an antibody or other cell binding agent via an acid-labile linker or a photolabile linker. The tomaymycin derivatives with a free amino or carboxyl group can be condensed with a peptide and then linked to a cell binding agent to give a peptidase-labile linker. The tomaymycin derivatives with a free hydroxyl group on the linker can be succinylated and linked to a cell binding agent to give a conjugate that can be cleaved by intracellular esterases to release free drug. Preferably, the tomaymycin derivatives are treated to form a free or protected thiol group, after which the disulfide or thiol-containing tomaymycin dimers are linked to the cell binding agent via disulfide bonds. ;Preferably, monoclonal antibody or cell binding agent-tomaymycin derivative conjugates are those linked via a disulfide bond as described above, which are capable of delivering tomaymycin derivatives. Such cell binding conjugates are prepared in a manner known per se such as by modification of monoclonal antibodies with succinimidylpyridyl dithiopropionate (SPDP) (Carlsson et al., 1978, Biochem. J., 173: 723-737). The resulting thiopyridyl group is then displaced by treatment with thiol-containing tomaymycin derivatives to give disulfide-linked conjugates. Alternatively, and in the case of aryldithio-tomaymycin derivatives, the formation of the cell-binding conjugate is accomplished by direct displacement of the aryl-thiol in the tomaymycin derivative with sulfhydryl groups previously introduced into antibody molecules. Conjugates containing 1 to 10 tomaymycin derivatives linked via a disulfide bridge can be readily prepared by these methods. ;;More specifically, a solution of the dithio-nitropyridyl-modified antibody at a concentration of 2.5 mg/ml in 0.05 M potassium phosphate buffer, at pH 7.5 containing 2 mM EDTA, is treated with the thiol-containing tomaymycin derivative (1.3 molar equivalents per dithiopyridyl group). The release of the thio-nitropyridine from the modified antibody is monitored spectrophotometrically at 325 nm and is complete within about 16 hours. The antibody-tomaymycin derivative conjugate is purified and freed from unreacted drug and other low molecular weight material by gel filtration through a column of Sephadex G-25 or Sephacryl S300. The number of tomaymycin derivative moieties bound per antibody molecule can be determined by measuring the ratio of the absorbance at 230 nm to 275 nm. An average of 1-10 tomaymycin derivative molecules per antibody molecule can be linked via disulfide bonds by this method. ;;The effect of conjugation on the binding affinity to the antigen-expressing cells can be determined using the methods previously described by Liu et al., 1996, Proc. Natl. Acad. Sci. U.S.A., 93: 8618-8623. The cytotoxicity of the tomaymycin derivatives and their antibody conjugates against cell lines can be measured by back-extrapolation of cell proliferation curves as described in Goldmacher et al., 1985, J. Immunol., 135: 3648-3651. The cytotoxicity of these compounds to adherent cell lines can be determined by clonogenic assays as described in Goldmacher et al., 1986, J. Cell Biol., 102: 1312-1319. ;;Leptomycin Derivatives ;The cytotoxic agent of the disclosure may also comprise a leptomycin derivative. ;"Leptomycin derivatives" refers to members of the leptomycin family as defined in Kalesse et al. (2002, Synthesis 8: 981-1003) and include: leptomycins such as laptomycin A and leptomycin B, callystatins, ratjadones such as ratjadone A and ratjadone B, anguinomycins such as anguinomycin A, B, C, D, kasumycins, leptolstatin, leptofuranins such as leptofuranin A, B, C, D. Derivatives of leptomycin A and B are preferred. ;;More particularly, the derivatives have formula (I): ;;;;wherein ;;Ra and Ra' are H or -Alk; it is preferred that Ra is -Alk, and especially methyl and Ra' is H; ;;R17 is alkyl optionally substituted with OR, CN, NRR' or perfluoroalkyl; preferably R17 is alkyl, and more especially methyl or ethyl; ;;R9 is alkyl optionally substituted with OR, CN, NRR', perfluoroalkyl; preferably R9 is alkyl, and more particularly methyl; ;;X is –O- or –NR, and it is preferred that an X is –NR-; ;;Y is –U-, -NR-U-, -O-U-, -NR-CO-U-, -U-NR-CO-, -U-CO-, -CO-U- ; ;preferably, when X is –O-, Y is –U-, -NR-U-, -U-NR-CO-; ;;wherein U is selected from straight or branched –Alk-, -Alk(OCH2CH2)m-, -(OCH2CH2)m-Alk-, -Alk(OCH2CH2)m-Alk-, -(OCH2CH2)m-, -Cycloalkyl-, -Heterocycle-, -Cycloalkyl-Alk-, -Alk-Cycloalkyl-, -Heterocycle-Alk-, -Alk-Heterocycle-; ;;wherein m is an integer selected from 1 to 2000; ;preferably U is linear or branched –Alk-; ;;Z is –Alk-; ;;n is 0 or 1, and preferably n is 0; ;;T is H, a thiol protecting group such as Ac, R1 or SR1, where R1 is H, methyl, Alk, cycloalkyl, optionally substituted aryl or heterocycle, or T represents ;;;;;wherein: ;;Ra, Ra’, R17, R9, X, Y, Z and n are as defined above; ;;preferably T is H or SR1, where R1 is Alk, and more particularly methyl; ;;R and R’ are the same or different and are H or alkyl; ;;Alk is straight or branched alkyl, preferably Alk represents (-(CH2-q(CH2)q)p-, where p is an integer from 1 to 10; and q is an integer from 0 to 2; preferably Alk represents –(CH2)- or –C(CH3)2-; ;;or their pharmaceutically acceptable salts, hydrates or hydrated salts, or polymorphic, crystalline structures of these compounds, or their optical isomers, racemates, diastereomers or enantiomers. ;;Preferred compounds can be selected from: ;;(2-Methylsulfanylethyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5, 7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid; ;Bis-[(2-mercaptoethyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5, 7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid]; ;;(2-Mercaptoethyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5,7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid; ;;(2-Methyldisulfanylethyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5, 7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid; ;;(2-Methyl-2-methyldisulfanylpropyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5,7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid; ;;(2-Mercapto-2-methylpropyl)-amide of (2E,10E,12E,16Z,18E)-(R)-6-hydroxy-3,5,7,9,11,15,17-heptamethyl-19-((2S,3S)-3-methyl-6-oxo-3,6-dihydro-2H-pyran-2-yl)-8-oxo-nonadeca-2,10,12,16,18-pentaenoic acid ;;or their pharmaceutically acceptable salts, hydrates or hydrated salts, or the polymorphic, crystalline structures of these compounds or their optical isomers, racemates, diastereomers or enantiomers. ;;To link derivatives to a cell binding agent, the derivative must include a moiety (a linker group) that allows the derivative to be linked to a cell binding agent via a linker such as a disulfide bond, a sulfide (or thioether bond included therein), an acid labile group, a photolabile group, a peptidase labile group, or an esterase labile group. The derivatives are prepared such that they contain a moiety necessary to link leptomycin derivatives to a cell binding agent via, for example, a disulfide bond, a thioether bond, an acid labile group, a photolabile group, a peptidase labile group, or an esterase labile group. To further increase solubility in aqueous solutions, the linker group may contain a polyethylene glycol spacer. Preferably, a sulfide or disulfide linker is used because the reducing environment of the target cell results in cleavage of the sulfide or disulfide, releasing the derivatives with an associated increase in cytotoxicity. ;Compounds of the disclosure may be prepared via a number of synthetic routes. Reagents and starting materials are commercially available, or readily synthesizable via techniques well known to those skilled in the art. Methods for synthesizing leptomycin derivatives that can be used in the cytotoxic conjugates, together with methods for conjugating said leptomycin derivatives to cell binding agents such as antibodies, are described in detail in EP application 06290948.6. ;;CC-1065 analogs ;The cytotoxic agent used in the cytotoxic conjugates according to the disclosure may also be CC-1065 or a derivative thereof. ;;CC-1065 is a potent antitumor antibiotic isolated from the culture broth of Streptomyces zelensis. CC-1065 is about 1000 times more potent in vitro than commonly used anti-cancer agents such as doxorubicin, methotrexate and vincristine (B.K. Bhuyan et al., 1982, Cancer Res., 42, 3532-3537). CC-1065 and its analogs are described in US 6372 738, 6340 701, 5846 545 and 5585 499. ;;The cytotoxic potency of CC-1065 is correlated with its alkylating activity and its DNA binding or DNA intercalating activity. These two activities reside in separate parts of the molecule. Thus, the alkylating activity is found in the cyclopropapyrroloindole (CPI) subunit, and the DNA binding activity resides in the two pyrroloindole subunits. ;;Although CC-1065 has certain attractive features as a cytotoxic agent, the compound has limitations in therapeutic use. Administration of CC-1065 to mice causes delayed hepatotoxicity leading to mortality on day 50 after a single intravenous dose of 12.5 µg/kg (V. L. Reynolds et al., 1986, J. Antibiotics, XXIX: 319-334). This has prompted attempts to develop analogues that do not cause delayed toxicity, and the synthesis of simpler analogues modeled on CC-1065 has been described (M.A. Warpehoski et al., 1988, J. Med. Chem., 31: 590-603). ;;In another series of analogs, the CPI moiety was replaced by a cyclopropabenzindole (CBI) moiety (D.L. Boger et al., 1990, J. Org. Chem., 55: 5823-5833; D.L. Boger et al., 1991, BioOrg. Med. Chem. Lett., 1: 115-120). These compounds maintain the high in vitro potency of the parent drug without causing delayed toxicity in mice. As in CC-1065, these compounds are alkylating agents that bind to the minor groove of DNA in a covalent manner and cause cell death. However, clinical evaluation of the most promising analogs, adozelesin and carzelesin, has led to disappointing results (B.F. Foster et al., 1996, Investigational New Drugs, 13: 321-326; I. Wolff et al., 1996, Clin. Cancer Res., 2: 1717-1723). These drugs show poor therapeutic effects due to the high systemic toxicity. ;;The therapeutic efficacy of CC-1065 analogs can be greatly improved by altering the in vivo distribution via targeted delivery to the tumor site, resulting in lower toxicity to non-target tissues, and thereby lower systemic toxicity. To achieve this goal, conjugates of analogs and derivatives of CC-1065 with cell-binding agents that specifically target tumor cells have been described (US 5,475,092, 5,585,499, 5,846,545). These conjugates typically exhibit high target-specific cytotoxicity in vitro, and exceptional anti-tumor activity in human tumor xenograft models in mice (R.V. J. Chari et al., 1995, Cancer Res., 55: 4079-4084). ;;Recently, prodrugs of CC-1065 analogs with improved solubility in aqueous media have been described (EP 06290379.4). In these prodrugs, the phenolic group of the alkylating moiety of the molecule is protected with a functionality that makes the drug stable upon storage in acidic aqueous solution, and provides increased aqueous solubility of the drug compared to an unprotected analog. The protecting group can be readily cleaved off in vivo at physiological pH to yield the corresponding active drug. In the prodrugs described in EP 06290379.4, the phenolic substituent is protected as a sulfonic acid-containing phenylcarbamate which has a charge at physiological pH, and therefore has improved water solubility. To further improve water solubility, an optional polyethylene glycol spacer can be introduced into the linker between the indolyl subunit and the cleavable bond as a disulfide group. The introduction of this spacer does not alter the potency of the agent. ;;Methods for synthesizing CC-1065 analogs that can be used in the cytotoxic conjugates, along with methods for conjugating analogs to cell binding agents such as antibodies, are described in detail in EP 06290379.4, in US 5475 092, 5846 545, 5 585 499, 6534 660 and 6586 618 and in US applications 10/116053 and 10/265452. ;Other Drugs ;Drugs such as methotrexate, daunorubicin, doxorubicin, vincristine, vinblastine, melphalan, mitomycin C, chlorambucil, calicheamicin, tubulysin and tubulysin analogs, duocarmycin and duocarmycin analogs, dolastatin and dolastatin analogs are also suitable for preparing conjugates. The drug molecules may also be linked to the antibody molecules via an intermediate carrier molecule such as serum albumin. ;Doxarubicin and danorubicin compounds, such as those described in US SN 09/740991, may also be useful cytotoxic agents. ;;Therapeutic Compositions ;Also described is a therapeutic composition for treating a hyperproliferative disorder, or inflammatory disease, or an autoimmune disease in a mammal, comprising a therapeutically effective amount of a compound of the disclosure, and a pharmaceutically acceptable carrier. In one embodiment, the pharmaceutical composition is for treating cancer including (but not limited to) B-cell lymphoma, and multiple myeloma. ;The present disclosure describes pharmaceutical compositions comprising: ;;a) an effective amount of an antibody or an antibody conjugate, and ;;b) a pharmaceutically acceptable carrier which may be inert or physiologically active. ;;As used herein, “pharmaceutically acceptable carriers” include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, and the like that are physiologically compatible. Examples of suitable carriers, diluents, and/or excipients include one or more of water, saline, phosphate buffered saline, dextrose, glycerol ethanol, and the like, as well as combinations thereof. In many cases, it will be preferable to include isotonic agents such as sugars, polyalcohols, or sodium chlorides, in compositions. Particularly relevant examples of suitable carriers include: (1) Dulbecco’s phosphate buffered saline, pH ~7.4, optionally containing about 1 mg/ml to 25 mg/ml human serum albumin, (2) 0.9% saline (0.9% w/v sodium chloride)) and (3) 5% (w/v) dextrose; and may also contain an antioxidant such as tryptamine and a stabilizing agent such as Tween 20. ;The compositions described herein may also contain an additional therapeutic agent, if necessary for the particular disorder being treated. Preferably, the antibody or antibody conjugate of the disclosure and the supplementary active compound will have complementary activities that do not adversely affect each other. In a preferred embodiment, the additional therapeutic agent is an antagonist of epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF), or an antagonist of a receptor for epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF), including HER2 receptor, HER3 receptor, c-MET and other receptor tyrosine kinases. In a preferred embodiment, the additional therapeutic agent is an agent that targets clusters of differentiation (CD) antigens, including CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 and CD152. In a preferred embodiment, the additional therapeutic agent is a chemotherapeutic or immunomodulatory agent. ;;The compositions may be in a number of forms. These include, for example, liquid, semi-solid or solid dosage forms, but the preferred form depends on the intended route of administration and therapeutic applications. Typically, preferred compositions are in the form of injectable or infusible solutions. The preferred route of administration is parenteral (e.g., intravenous, intramuscular, intraperitoneal, subcutaneous) administration. In a preferred embodiment, the compositions are administered intravenously as a bolus or by continuous infusion over a period of time. In another preferred embodiment, they are injected via intramuscular, subcutaneous, intra-articular, intrasynovial, intratumoral, peritumoral, intralesional, or perilesional routes to exert local as well as systemic therapeutic effects. ;;Sterile compositions for parenteral administration can be prepared by incorporating the antibody or antibody conjugate, in the required amount of the appropriate solvent, followed by sterilization by microfiltration. As the solvent or vehicle, water, saline, phosphate buffered saline, dextrose, glycerol, ethanol, and the like, as well as combinations thereof, can be used. In many cases, it will be preferable to include isotonic agents such as sugars, polyalcohols, or sodium chloride, in the composition. These preparations may also contain adjuvants and in particular wetting, isotonizing, emulsifying, dispersing and stabilizing agents. Sterile preparations for parenteral administration may also be prepared in the form of sterile solid preparations which may be dissolved at the time of use in sterile water, or any other sterile injectable medium. ;;The antibody or antibody conjugate may also be administered orally. As solid preparations for oral administration, tablets, pills, powders (gelatin capsules, sachets) or granules may be used. In these preparations, the active ingredient is mixed with one or more inert diluents such as starch, cellulose, sucrose, lactose or silica, under a stream of argon. These preparations may also comprise substances other than diluents, for example one or more lubricants such as magnesium stearate or talc, a colour, a coating (sugar-coated tablet) or a glaze. ;;As liquid preparations for oral administration, pharmaceutically acceptable solutions, suspensions, emulsions, syrups and elixirs containing inert diluents such as water, ethanol, glycerol, vegetable oils or paraffin oil may be used. These preparations may include substances other than diluents, for example wetting, sweetening, diluting, flavouring or stabilising products. ;;Doses depend on the desired effect, the duration of treatment and the form of administration used, the dose generally being between 5 mg to 1000 mg per day orally for an adult human with unit doses in the range of 1 mg to 250 mg of active ingredient. In general, the physician will determine the appropriate dosage form depending on the age, weight and other factors specific to the individual being treated.;;Therapeutic Uses ;Described herein is a method of killing a CD38 <+> cell by administering to a patient in need thereof an antibody that binds said CD38 and is capable of killing said CD38 <+ >by apoptosis, ADCC and/or CDC. Any type of antibody or cytotoxic conjugate may be used therapeutically. ;;In preferred embodiments, antibodies or cytotoxic conjugates are used for the treatment of a hyperproliferative disorder or inflammatory disease or autoimmune disease in a mammal. In a more preferred embodiment, one of the pharmaceutical compositions described above, which contains an antibody or cytotoxic conjugate, is used for the treatment of a hyperproliferative disorder in a mammal. In one embodiment, the disorder is a cancer. In particular, the cancer is a metastatic cancer. ;;Accordingly, the pharmaceutical compositions are useful in the treatment or prevention of a number of cancers including, but not limited to, B-cell lymphoma and multiple myeloma. Other diseases include the following: carcinoma, including of the bladder, breast, colon, kidney, liver, lung, ovary, pancreas, stomach, cervix, thyroid and skin; including squamous cell carcinoma; hematopoietic tumors of lymphoid lineage, including leukemia, acute lymphocytic leukemia, acute lymphoblastic leukemia, B-cell lymphoma, T-cell lymphoma, Burkitt's lymphoma; hematopoietic tumors of myeloid lineage, including acute and chronic myelogenous leukemia and promyelocytic leukemia; tumors of mesenchymal origin including fibrosarcoma and rhabdomyosarcoma; other tumors including melanoma, seminoma, tetratocarcinoma, neuroblastoma and glioma; tumors of the central and peripheral nervous system including astrocytoma, neuroblastoma, glioma and schwannomas; tumors of mesenchymal origin including fibrosarcoma, rhabdomyosarcoma and osteosarcoma; and other tumors including melanoma, xeroderma pigmentosum, keratoacanthoma, seminoma, thyroid follicular cancer and teratocarcinoma and other cancers to be determined where CD38 is expressed. Other disorders include NHL, BL, MED MER, B-CLL, ALL, TCL, AML, HCL, HL or CML, in which CD38 is expressed, and other cancers that can be identified in which CD38 is predominantly expressed. Autoimmune diseases include systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, Crohn's disease, ulcerative colitis, gastritis, Hashimoto's thyroiditis, ankylosing spondylitis, hepatitis C-associated cryoglobulinemic vasculitis, chronic focal encephalitis, bullous pemphigoid, hemophilia A, membranoproliferative glomerulonephritis, Sjögren's syndrome, adult and juvenile dermatomyositis, adult polymyositis, chronic urticaria, primary biliary cirrhosis, idiopathic thrombocytopenic purpura, neuromyelitis optica, Graves' dystrophy, bullous pemphigoid, membranoproliferative glomerulonephritis, Churg-Strauss syndrome and asthma. Other disorders include, for example, rejection reactions such as renal transplant rejection, liver transplant rejection, lung transplant rejection, cardiac transplant rejection, and bone marrow transplant rejection; graft-versus-host disease; viral infections such as MV infection, HIV infection, AIDS, etc.; and parasitic infections such as giardiasis, amebiasis, schistosomiasis, and others as will be appreciated by those skilled in the art. ;Similarly, the present disclosure provides a method of inhibiting the growth of selected cell populations comprising contacting target cells, or tissues containing the target cells, with an effective amount of an antibody or antibody conjugate, or an antibody or therapeutic agent comprising a cytotoxic conjugate, either alone or in combination with other cytotoxic or therapeutic agents. In a preferred embodiment, the additional therapeutic agent is an antagonist of epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF), or an antagonist of a receptor for epidermal growth factor (EGF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), tissue factor (TF), protein C, protein S, platelet-derived growth factor (PDGF), heregulin, macrophage stimulating protein (MSP) or vascular endothelial growth factor (VEGF), including HER2 receptor, HER3 receptor, c-MET and other receptor tyrosine kinases. In a preferred embodiment, the additional therapeutic agent is an agent that targets clusters of differentiation (CD) antigens, including CD3, CD14, CD19, CD20, CD22, CD25, CD28, CD30, CD33, CD36, CD40, CD44, CD52, CD55, CD59, CD56, CD70, CD79, CD80, CD103, CD134, CD137, CD138 and CD152. In a preferred embodiment, the additional therapeutic agent is a chemotherapeutic or immunomodulatory agent. ;;The method of inhibiting selected cell populations can be carried out in vitro, in vivo or ex vivo. As used herein, “inhibiting growth” means slowing the growth of a cell, reducing cell viability, causing cell death, lysing a cell and inducing cell death, whether over a short or long period of time. ;;Examples of in vitro uses include treatments of autologous bone marrow prior to transplantation into the same patient to kill diseased or malignant cells; treatments of bone marrow prior to transplantation to kill competent T cells and prevent graft-versus-host disease (GVHD); treatments of cell cultures to kill all cells except the desired variants that do not express the target antigen; or to kill variants that express undesired antigen. ;;The conditions for non-clinical in vitro use can be readily determined by one skilled in the art. ;;Examples of clinical ex vivo use are to remove tumor cells or lymphoid cells from bone marrow prior to autologous transplantation in cancer treatment or in the treatment of autoimmune disease, or to remove T cells and/or lymphoid cells from autologous or allogeneic bone marrow or tissue prior to transplantation to prevent graft-versus-host disease (GVHD). The treatment can be carried out as follows. Bone marrow is harvested from the patient or other individual and then incubated in medium containing serum to which a cytotoxic agent has been added. The concentration range is from about 10 µM to 1 pM, for about 30 minutes to about 48 hours, and at about 37°C. The exact conditions of concentration and incubation time, i.e. dose, can be readily determined by one skilled in the art. After incubation, the bone marrow cells are washed with medium containing serum and returned to the patient by intravenous infusion according to known methods. In circumstances where the patient receives other treatment such as ablative chemotherapy or total body irradiation between the time of harvesting the marrow and reinfusion of the treated cells, the treated marrow cells are stored frozen in liquid nitrogen using standard medical equipment. ;;For clinical in vivo use, the antibody, or cytotoxic conjugate, will be supplied as solutions that have been tested for sterility and for endotoxin levels. Examples of suitable protocols for cytotoxic conjugate administration are as follows. Conjugates are administered weekly for 4 weeks as an i.v. bolus every week. Bolus doses are administered in 50 to 100 ml of normal saline, to which 5 to 10 ml of human serum albumin may be added. Doses will be 10 µg to 100 mg per administration i.v. (range 10 ng to 1 mg/kg/day). More preferably, the dose range will be from about 50 µg to 30 mg. Most preferably, the dose range will be from 1 to 20 mg. After four weeks of treatment, the patient may continue to receive treatment on a weekly basis. Specific clinical protocols with respect to route of administration, excipients, diluents, doses, time periods, etc., can be determined by one of ordinary skill in the art, depending on the clinical situation at hand. ;;Diagnostics ;The antibodies described may also be used to detect CD38 in a biological sample in vitro or in vivo. Preferably, the described anti-CD38 antibodies are used in vitro to determine the level of CD38 in a tissue or in cells derived from the tissue. Preferably, the tissue is a diseased tissue. More preferably, the tissue is a tumor or a biopsy thereof. More preferably, the tissue or biopsy thereof is first excised from a patient, and the level of CD38 in the tissue or biopsy can then be determined in an immunoassay with antibodies described herein. The description further provides for the determination of the level of CD38 in a sample of a tissue or biopsy thereof which may be frozen or fixed. The same method can be used to determine other properties of CD38 protein such as cell surface levels, or its cellular location. ;;The above-described method can be used to diagnose a cancer in an individual known to have or suspected of having a cancer, wherein the level of CD38 measured in the patient is compared to that of a normal reference individual or standard. The method can then be used to determine whether a tumor expresses CD38, which may indicate that the tumor will respond well to treatment by the antibodies, antibody fragments or antibody conjugates. Preferably, the tumor is an NHL, BL, MM, B-CLL, ALL, TCL, AML, HCL, HL or CML, in which CD38 is expressed, and other cancers to be determined later in which CD38 is predominantly expressed. ;;The present disclosure further provides monoclonal antibodies, humanized antibodies and epitope-binding fragments thereof that are further labeled for use in research or diagnostic purposes. In preferred embodiments, the label is a radiolabel, a fluorophore, a chromophore, an imaging agent or a metal ion. ;;A method of diagnosis is also described wherein said labeled antibodies or epitope-binding fragments thereof are administered to an individual suspected of having a cancer or an inflammatory disease or an autoimmune disease, and the distribution of the label in the body of the individual is measured or followed. ;;Kits ;The present description also includes kits which, for example, comprise a described cytotoxic conjugate and instructions for using the cytotoxic conjugate to kill particular cell types. The instructions may include guidelines for using the cytotoxic conjugates in vitro, in vivo or ex vivo. ;;Typically, the kit will have a compartment containing the cytotoxic conjugate. This may be in lyophilized form, liquid form or any other form that may be included in a kit. Kits may also contain additional elements as necessary, described in the instructions in the kit, for example a sterilized solution for reconstituting the lyophilized powder, additional means for combining with the cytotoxic conjugate prior to administration to a patient, and tools to support administration of the conjugate to a patient. ;Examples ;The invention will now be described with reference to the following examples which are illustrative only and are not intended to limit the invention. ;;Example 1 ;Mouse CD38 antibodies ;300-19 cells, a pre-B cell line derived from Balb/c mice (M. G. Reth et al.1985, Nature, 317: 353-355) which stably express a high level of human CD38 were used for immunization of Balb/c VAF mice. The mice were immunized subcutaneously with about 5 x 10 <6 >CD38-expressing 300-19 cells per mouse every two to three weeks using standard immunization protocols used by ImmunoGen, Inc. The immunized mice were boosted with an additional dose of antigen three days before they were sacrificed for hybridoma generation. The spleens from the mice were collected according to standard animal protocols and ground between two sterile, frosted microscopic plants to obtain a single cell suspension in RPMI-1640 medium. The spleen cells were pelleted, washed, and fused with murine myeloma P3X63Ag8.653 cells (J. F. Kearney et al. 1979, J Immunol, 123: 1548-1550) using polyethylene glycol-1500 (Roche 783641). The fused cells were resuspended in RPMI-1640 selection medium containing hypoxanthine-thymidine (HAT) (Sigma H-2062) and selected for growth in 96-well flat-bottomed culture plates (Corning-Costar 3596, 200 µl of cell suspension per well) at 37ºC (5% CO2). After 5 days of incubation, 100 µl of culture supernatant was removed from each well and replaced with 100 µl of RPMI-1640 medium containing hypoxanthine-thymidine (HT) supplement (Sigma H-0137). Incubation at 37ºC (5% CO2) was continued until hybridoma clones were ready for antibody screening. Other techniques for immunization and hybridoma production may also be used, including those described in J. Langone and H. Vunakis (eds., Methods in Enzymology, Vol.121, “Immunochemical Techniques, Part I”; Academic Press, Florida) and E. Harlow and D. Lane (“Antibodies: A Laboratory Manual”; 1988; Cold Spring Harbor Laboratory Press, New York). ;;By fluorescence-activated cell sorting (FACS) using a Becton Dickinson FACSCalibur or a FACSArray machine, hybridoma culture supernatants were screened (with FITC or PE-conjugated anti-mouse IgG antiserum) for secretion of mouse monoclonal antibodies that bind to the CD38-expressing 300-19 cells but not to the parental 300-19 cells. The hybridoma clones that tested positive were subcloned and the isotype of each secreted anti-CD38 antibody was identified using commercial isotyping reagents (Roche 1493027). A total of 29 antibodies that were positive for CD38 binding were purified by Protein A or –G chromatography using a standard protocol and then characterized further. ;;Example 2 ;Binding characterization of anti-CD38 antibodies ;FACS histograms showing binding of anti-CD38 antibodies, 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 to CD38-expressing 300-19 cells, and absence of binding to the parental 300-19 cells are shown in Fig. 1. 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 or 38SB39 antibody (10 nM) was incubated for 3 hours with either CD38-expressing 300-19 cells or the parental 300-19 cells (1-2 x 10 <5 >cells per sample) in 100 µl of ice-cold RPMI-1640 medium supplemented with 2% normal goat serum. ;The cells were then pelleted, washed and incubated for 1 hour on ice with FITC-conjugated goat anti-mouse IgG antibody (Jackson Laboratory, 100 µl, 6 µg/ml in cold RPMI-1640 medium supplemented with 2% normal goat serum). The cells were pelleted again, washed, resuspended in 200 µl of PBS containing 1% formaldehyde and analyzed using a FACSCalibur flow cytometer with CellQuest software (BD Biosciences). ;;FACS histograms of CD38-expressing 300-19 cells incubated with 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 showed a strong fluorescence shift compared to that of the negative control (cells incubated with FITC-conjugated goat anti-mouse IgG antibody only) (Fig. 1). Also, no significant fluorescence shift was detected when parental 300-19 cells were incubated with any of these antibodies. Similar results were obtained when the positive control anti-CD38 antibody AT13/5 (Serotec, MCA1019) was used. ;;A strong fluorescence shift was also observed when Ramos (ATCC CRL 1596) lymphoma cells were incubated with 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 (Fig. 1). The apparent dissociation constant (K) values for 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 for binding to Ramos cells were estimated from the FACS analysis curves shown in Fig. 2 using the nonlinear regression method for sigmoid dose-response curves (GraphPad Prizm, version 4, program, San Diego, CA). The values are as follows: 0.10 nM, 0.10 nM, 0.12 nM, 0.16 nM, 0.11 nM and 3.3 nM, respectively. ;Example 3 ;Induction of apoptosis of Ramos and Daudi lymphoma cells with 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 antibodies ;The anti-CD38 antibodies, 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 induced apoptosis of Ramos and Daudi (ATCC CCL-213) lymphoma cell lines and the MOLP-8 multiple myeloma cell line (DSMZ ACC 569). The extent of apoptosis was measured by FACS analysis after staining with FITC conjugates of Annexin V (Biosource PHN1018) and with TÆO-PRO-3 (Invitrogen T3605). Annexin V binds phosphotidylserine on the outside, but not on the inside, of the cell membrane bilayer of intact cells. In healthy, normal cells, phosphatidylserine is expressed on the inside of the membrane bilayer, and the transfer of phosphatidylserine from the inner to the outer leaflet of the plasma membrane is one of the earliest detectable signals of apoptosis. Thus, the binding of Annexin V is a signal for the induction of apoptosis. TO-PRO-3 is a monomeric cyanine nucleic acid dye that can only penetrate the plasma membrane when membrane integrity is compromised, as occurs in the later stages of apoptosis. ;;Exceptionally growing cells were plated on plates with approximately 2 x 10 <5 >cells/ml in 24-well plates in RMPI-1640 medium supplemented with 10% fetal bovine serum (FBS), 2 mM L-glutamine and 50 µg/ml gentamycin (referred to below as complete RMPI-1640 medium). Cells were generally grown in complete RMPI-1640 medium unless otherwise stated. Cells were incubated with anti-CD38 antibodies (10 nM) for 24 hours at 37ºC in a humidified atmosphere containing 5% CO2. Cells were then pelleted, washed twice with 500 µl PBS, resuspended in 100 µl binding buffer (provided in the Annexin V-FITC kit) containing 5 µl Annexin V-FITC, and incubated for 15 minutes on ice. Then, 400 µl of binding buffer and TO-PRO-3 (to a final concentration of 1 µM) were added to the mixture and the cell-associated fluorescence of FITC and TO-PRO-3 was immediately measured by FACS. 4000 events were collected for each sample. Dot plots of the fluorescence of TO-PRO-3 (FL4-H; y-axis) and fluorescence of Annexin V-FITC (FL1-H, x-axis) were generated using CellQuest software. ;;The results are shown in Figures 3 and 4. Figure 3 provides an example of such a dot plot for Daudi cells after 24-hour incubation with different anti-CD38 antibodies. The mean percentages of Annexin V-positive cells (including both TO-PRO-3-positive and -negative cells) from duplicate samples were determined from these plots and are shown in Figure 4. Unexpectedly, 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 showed strong apoptotic activity. More than 30% of Daudi cells exposed to any of these antibodies were Annexin V-positive compared to only 6% of untreated cells (Figs. 3 and 4A). 38SB13,38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 showed at least 2.4-fold stronger apoptotic activities (24% after subtraction of the untreated control value) than previously known murine CD38 antibodies tested at the same concentration of 10 nM, (AT13/5, OKT10, IB4 and SUN-4B7, less than 10% Annexin V positive after subtraction of the untreated control value) and two other anti-CD38 antibodies generated in the applicant's laboratory (38SB7 and 38SB23, no higher than untreated control, i.e. around 6% Annexin V positive) (Fig. 4A). ;AT13/5 was acquired from Serotec (MCA1019) and OKT10 was produced and purified from hybridoma (ATCC CRL-8022). IB4 and SUN-4B7 were a gift from Prof. F. Malavasi, University of Turin, Italy. Similarly, the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 anti-CD38 antibodies showed at least 3.5-fold stronger pro-apoptotic activity on another lymphoma cell line, Ramos (7% or more Annexin V positive after subtraction of the untreated control value) than any of the previously known murine CD38 antibodies, AT13/5, OKT10, IB4 and SUYN-4B7, or two other novel anti-CD38 antibodies, 38SB7 and 38SB23 (less than 2% Annexin V positive after subtraction of the untreated control value) (Fig. 4B). Finally, the 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 anti-CD38 antibodies showed strong pro-apoptotic activity on the multiple myeloma cell line MOLP-8 (Fig. 4C). Approximately 50% of MOLP-8 cells treated with these antibodies were Annexin V positive compared to approximately 39% of untreated cells. In contrast, treatment with the known murine CD38 antibodies, AT13/5, OKT10, IB4 and SUN-4B7, or the two other novel anti-CD38 antibodies, 38SB7 and 38SB23, did not increase the proportion of apoptotic cells. ;;Example 4 ;Cloning and sequencing of light and heavy chains of anti-CD38 antibodies ;;38SB19 antibody ;RNA preparation from hybridoma cells producing 38SB19 antibody. ;;Preparation of total RNA was obtained from 5 x 10 <6>hybrodim cells producing 38SB19 antibody using Qiagen's RNeasy miniprep kit. Briefly, 5 x 10 <6 >cells were pelleted and resuspended in 350 µl RLT buffer (containing 1% β-mercaptoethanol). The suspension was homogenized by passing it through a 21.5 gauge needle and injecting about 10-20 times until it was no longer viscous. Ethanol (350 µl 70% aqueous ethanol) was added to the homogenate and mixed well. The solution was transferred to a spin column, placed in a 2 ml collection tube and spun at >8000 x g for 15 seconds. The column was washed twice with 500 µl RPE buffer, then transferred to a fresh tube and eluted with 30 µl RNase-free water and a 1-minute spin. The 30 µl eluate was placed back on the column for a second 1-minute elution spin. An aliquot of 30 µl of eluant was diluted with water and used to measure UV absorbances at 260 nm for RNA quantitation. ;;cDNA preparation by reverse transcriptase (RT) reaction ;The variable region 38SB19 antibody cDNA was generated from total RNA using Invitrogen's SuperscritII kit. The kit protocol was followed strictly using up to 5 µg of total RNA from Qianeasy mini-preps. Briefly, RNA, 1 µl of working primers and 1 µl of dNTP mix were brought up to 12 µl with RNase-free, sterile, distilled water and incubated at 65ºC for 5 minutes. The mixture was then placed on ice for at least 1 minute. Then 4 µl of 5x reaction buffer, 2 µl of 0.1 M DTT and 1 µl of RNaseOUT were added and the mixture was incubated at 25ºC for 2 minutes in an MJ Research thermal cycler. This was stopped so that 1 µl of SuperscriptII enzyme could be added and then restarted for a further 10 minutes at 25ºC before shifting to 55ºC for 50 minutes. The reaction mixture was heat-inactivated by heating to 70ºC for 15 minutes, and RNA was removed by adding 1 µl of RNase H and incubating at 37ºC for 20 minutes. ;;Degenerate PCR reactions ;The procedure for this first round of degenerate PCR reaction on the cDNA derived from hybridoma cells was based on the method described by Wang et al. (2000) and Co et al. (1992). The primers for this round (Table 2) contain restriction sites to facilitate cloning into pBluescriptII plasmids. ;;The PCR reaction component (Table 3) was mixed on ice in thin-walled PCR tubes and then transferred to an MJ Research thermal cycler that was preheated and held at 94ºC. ;The reaction was carried out using a program derived from Wang et al., 2000, as follows: ;;Name: Wang45 ;94ºC 3:00 min ;94ºC 0:15 sec ;45ºC 1:00 min ;72ºC 2:00 min ;Goto 229 times ;72ºC 6:00 min ;4ºC rest ;End ;;The PCR reaction mixture was then run on a 1% low-melting agarose gel, bands of 300 to 400 bp were excised, purified using Zymo DNA minicolumns and sent to Agentcourt biosciences for sequencing. The respective 5’ and 3’ PCR primers were used as sequencing primers to generate these 38SB19 variable region cDNAs from both directions. ;;Cloning of the 5’ end sequence ;Because the degenerate primers used to clone the 38SB19 variable region light and heavy chain cDNA sequences alter the 5’ sequences, additional sequencing attempts were necessary to decipher the complete sequences. The preliminary cDNA sequence from the method described above was used to search the NCBI IgBlast site (http://www.ncbi.nlm.nih.gov/igblast/) for the murine germline sequences from which the 38SB19 sequence is derived. PCR primers were designed (Table 3) to anneal the leader sequence of the murine antibody so that a new PCR reaction could yield the complete variable region cDNA, unaltered by the PCR primers. The PCR reactions, band purification, and sequencing were performed as described above. ;;Peptide analysis for sequence confirmation ;The cDNA sequence information for the variable region was combined with the germline constant region sequence to obtain full-length antibody cDNA sequences. The molecular weights for the heavy and light chains were then calculated and compared to molecular weights obtained by LC/MS analyses of the murine 38SB19 antibody. ;;Table 4 provides the calculated masses from the cDNA sequence for 38SB19 LC and -HC together with the values measured by LC/MS. The molecular weight measurements are consistent with the cDNA sequence for both the 38SB19 heavy and light chains. ;;Example 5 ;Recombinant expression of hu38SB19 antibodies ;The variable region sequences for hu38SB19 were codon optimized and synthesized by Blue Heron Biotechnology. The sequences are flanked by restriction enzyme sites for cloning inframe with the respective constant sequences in both single-chain and tandem dual-chain mammalian expression plasmids. The light chain variable region is cloned into the EcoRI and BsiWI sites in both ps38SB19LCZv1.0 and ps38SB19v1.00 plasmids (Fig. 5A and 5C). The heavy chain variable region is cloned into the HindIII and Apa1 sites in both ps38SB19HCNv1.0 and ps38SB19v1.00 plasmids (Fig. 5B and 5C). These plasmids can be used to express hu38SB19 in either transient or stable transfection in mammalian cells. Similar expression vector constructs were used to produce other chimeric and humanized antibodies. ;;Transient transfections to express hu38SB19 in HE-293T cells were performed using CaPO4 reagents from BD biosciences. The provided protocols were slightly modified for enhanced expression yields. Briefly, 2 x 10 <6>HE-293T cells were plated on 10 cm tissue culture plates coated with polyethyleneimine (PEI) 24 hours before transfection. Transfection began by washing the cells with PBS and replacing the medium with 10 ml DMEM (Invitrogen) with 1% Ultra low IgG FBS (Hyclone). ;Solution A (10 µg DNA, 86.8 µl Ca <2+> solution, and up to 500 µl with H2O) was added dropwise to Solution B while vortexing. The mixture was incubated at RT for 1 min and 1 ml of the mixture was added dropwise to each 10 cm plate. Approximately 16 h after transfection, medium was replaced with 10 ml fresh DMEM with 1% Ultra low IgG FBS. Approximately 24 h later, 2 mM sodium butyrate was added to each 10 cm plate. ;The transfection was harvested 4 days later. ;;Supernatant was prepared for Protein A affinity chromatography by adding 1/10 volume in 1 M Tris/HCl buffer, pH 8.0. The pH-adjusted supernatant was filtered through a 0.22 µm filter membrane and loaded onto a Protein A Sepharose column (HiTrap Protein A HP, 1 ml, Amersham Biosciences) that was equilibrated with binding buffer (PBS, pH 7.3). A Q-Sepharose precolumn (10 ml) was connected upstream of the Protein A column during sample loading to reduce contamination from cellular material such as DNA. After sample loading, the precolumn was removed and the Protein A column orientation was reversed for washing and elution. The column was washed with binding buffer until a stable baseline was obtained, with no absorbance at 280 nm. An antibody was eluted with 0.1 M acetic acid buffer containing 0.15 M NaCl, pH 2.8, using a flow rate of 0.5 ml/min. Fractions of approximately 0.25 ml were pooled and neutralized by the addition of 1/10 volume of 1M Tris/HCl, pH 8.0. Peak fractions were dialyzed overnight twice against PBS and purified antibody quantitated by absorbance at OD280. Humanized and chimeric antibodies can also be purified using a Protein G column with slightly different procedures. ;;All of the chimeric and humanized anti-CD38 antibodies described were expressed and purified by procedures similar to those described above. ;;Example 6 ;Antibody-dependent, cell-mediated cytotoxicity (ADCC) activities of chimeric anti-CD38 antibodies ;Because some anti-CD38 antibodies are previously known to have ADCC and/or CDC activity as chimeric or humanized antibodies with human IgG1 constant regions (J. H. Ellis et al.1995, J Immunol, 155: 925-937; F. K. Stevenson et al. 1991, Blood, 77: 1071-1079; WO 2005/103083), the chimeric versions of 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39, consisting of murine variable regions and the human IgG1/IgKappa constant region, were generated and tested for ADCC and/or CDC activity. CDC activities. ;;Ch38SB13, ch38SB18, ch38SB19, ch38SB30, ch38SB31 and ch38SB39 were first tested for ADCC using Ramos cells as target cells and human natural killer (NK) cells as effector cells. A lactate dehydrogenase (LDH) release assay was used to measure cell lysis (R. L. Shields et al., 2001, J Biol Chem, 276: 6591-6604). ;;NK cells were first isolated from human blood (from a normal donor; purchased from Research Blood Components, Inc., Brighton, MA) using a modified protocol for the NK Isolation Kit II (Miltenyi Biotech). Blood was diluted 2-3-fold with Hansk balanced salt solution (HBSS). 25 ml of diluted blood was carefully layered over 25 ml of Ficoll Paque in a 50 ml conical tube and centrifuged at 400 g for 45 min at 19ºC. The peripheral blood mononuclear cells (PBMC) were collected from the interface, transferred to a new 50 ml conical tube and washed once with HBSS. The PBMC were resuspended in 2 ml of NK isolation buffer and then 500 µl of Biotin-Antibody Cocktail (from the NK isolation kit, 130-091-152, Miltenyi Biotech) was added to the cell suspension. This Biotin-Antibody Cocktail contains biotinylated antibodies that bind to lymphocytes, except for NK cells. The mixture was incubated at 4ºC for 10 min, and then 1.5 ml of NK isolation buffer (PBS, 0.1% BSA, 1 mM EDTA) and 1 ml of anti-biotin microbeads were added. The cell-antibody mixture was incubated for another 15 min. at 4ºC. Then the cells were washed once with 50 ml NK isolation buffer and resuspended in 3 ml NK isolation buffer. Then the MACS LS column (on the MACS separator, Miltenyi Biotech) was prewashed with 5 ml NK isolation buffer. The cell suspension was then loaded onto the LS column. The effluent (the fraction with unlabeled cells) was collected in a new 50 ml conical tube. The column was washed three times with 3 ml NK isolation buffer. The entire effluent was collected in the same tube and washed once with 50 ml NK isolation buffer. NK cells were loaded onto the plate in 30 ml RPMI-1640 supplemented with 5% fetal bovine serum, 50 µg/ml gentamycin. ;;Various concentrations of ch38SB13, ch38SB18, ch38SB19, ch38SB30, ch38SB31, and ch38SB39 antibodies in RPMI-1640 medium supplemented with 0.1% BSA, 20 mM HEPES, pH 7.4, and 50 µg/ml gentamycin (referred to above as RHBP medium) were aliquoted (50 µl/well) into a round-bottom 96-well plate. The target Ramos cells were resuspended at 10 <6 >cells/ml in RHBP medium and added to each well (100 µl/well) containing antibody dilutions. The plate containing target cells and antibody dilutions was incubated for 30 minutes at 37ºC. NK cells (50 µl/well) were then added to the wells containing the target cells, typically at a ratio of 1 target cell per 3-6 NK cells. RHBP medium (50 µl/well) was added to the control wells containing NK cells. Also, 20 µl of tTriton X-100 solution (RPMI-1640 medium, 10% Triton X-100) was added to the 3 wells containing only target cells without antibody, to determine the maximum possible LDH release. The mixtures were incubated at 37ºC for 4 hours, then centrifuged for 10 minutes at 12 rpm, after which 100 µl of the supernatant was carefully transferred to a new flat-bottom 96-well plate. The LDH reaction mixture (100 µl/well) from the Cytotoxicity Detection Kit (Roche 1644 793) was added to each well and incubated at room temperature for 5-30 minutes. The optical density of the samples was measured at 490 nm (OD490). The percentage specific lysis of each sample was determined by assigning 100% lysis to the OD490 value of Triton X-100-treated samples, and 0% lysis to the OD490 value of the untreated control sample containing only target cells. The samples containing only NK cells gave negligible OD490 readings. ;;When tested with Ramos target cells and NK effector cells, chimeric anti-CD38 antibodies showed highly potent ADCC activities (Fig. 6). The EC50 values were estimated by a nonlinear regression method with sigmoid dose-response curves and found to be as follows: 0.0013 µg/ml for h38SB13, 0.0013 µg/ml for ch38SB18, 0.0018 µg/ml for ch38SB19, 0.0022 µg/ml for ch38SB30, 0.0012 µg/ml for ch38SB31, 0.1132 µg/ml for ch38SB39. Chimeric anti-CD38 antibodies also showed potent ADCC activity on LP-1 (DSMZ ACC 41) multiple myeloma cells (EC50 values: 0.00056 μg/ml for ch38SB18, 0.00034 μg/ml for ch38SB19, 0.00024 μg/ml for ch38SB31) (Fig. 7A). Ch38SB19 also effectively killed Daudi lymphoma cells (Fig. 7B), NALM-6 B-ALL cells (DSMZ ACC 128) (Fig. 8A) and MOLT-4 T-ALL cells (ATTC CRL-1582) (Fig. 8B) by ADCC, suggesting that anti-CD38 antibodies with unusually potent apoptotic activity also have potent ADCC activity against various tumor cells derived from different hematopoietic malignancies. Neither a non-binding IgG1 control antibody (rituximab, BiogenIdec) (Fig. 7A, 8A and 8B) nor mu38SB19 (Fig. 7B) had any significant ADCC activity in the same experiment. ;;Example 7 ;CDC activities of chimeric anti-CD38 antibodies ;The CDC activities of ch38SB13, ch38SB18, ch38SB19, ch38SB30, ch38SB31 and ch38SB39 were measured based on a method modified from H. Gazzano-Santoro et al.1997, J. Immunol Methods, 202: 163-171. Human complement was lyophilized human complement serum (Sigma-Aldrich S1764) which was reconstituted with sterile, purified water as suggested by the manufacturer and then diluted 5-fold with RHBP medium immediately before the experiment. Target cells suspended at 10 <6 >cells/ml in RHBP medium were aliquoted into wells of a flat-bottom 96-well tissue culture plate (50 µl/well). ;Then, 50 µl of different concentrations (from 10 nM to 0.001 nM) of anti-CD38 antibodies in RHBP medium were added (one antibody per well), followed by 50 µl/well of complement solution. The plate was then incubated for 2 hours at 37ºC in a humidified atmosphere containing 5% CO2, after which 50 µl of 40% Alamar Blue reagent (Biosource DAL1100), diluted in RHBP (10% final value), was added to each well to measure cell viability. Alamar Blue follows the reduction ability of the viable cells. The plate was incubated for 5-18 hours at 37ºC before measuring the fluorescence (in relative fluorescence units, RFU) at 540/590 nm. The percentage of specific cell viability for each sample was determined by first correcting the experimental values for background fluorescence by subtracting the background RFU value (wells with only medium, no cells) from the RFU values for each sample, and then dividing the corrected RFU values by the corrected RFU value for untreated cell samples. ;;When the CDC activity of the chimeric anti-CD38 antibody samples was tested with Raji-IMG cells using human complement at a final dilution of 5%, the chimeric anti-CD38 antibodies showed very potent CDC activities (Fig. 9). Raji-IMG are cells derived from Raji cells (ATCC CCL-86) and express lower levels of the membrane complement inhibitors CD55 and CD59. The EC50 values were estimated by non-linear regression from the sigmoid dose-response curve shown in Fig. 8 and are as follows: 0.005 µg/ml ch38SB13, 0.0101 µg/ml for ch38SB18, 0.028 µg/ml, for ch38SB19, 0.020 µg/ml for ch38SB30, 0.010 µg/ml for ch38SB31 and 0.400 µg/ml for ch38SB39. Chimeric anti-CD38 antibodies also showed potent CDC activity against LP-1 multiple myeloma cells (EC50 value: 0.032 μg/ml for ch38SB18, 0.030 μg/ml for ch38SB19, 0.043 μg/ml for ch38SB31), while a non-binding, chimeric control IgG1 (rituximab, BiogenIdec) had no CDC activity (Fig. 10). When chimeric CD38 antibodies were tested on Daudi lymphoma cells, different anti-CD38 antibodies differed in their respective CDC activities (Fig. 11). While the specific viability of Daudi cells was less than 15% after their incubation with 1.25 µg/ml ch38SB19 in the presence of complement, there was only a marginal decrease in the specific viability of these cells after their incubation with ch38SB18 and ch38SB39 (1.25 µg/ml or higher concentration) in the presence of complement (the specific viability was 85% and 91%, respectively). Furthermore, only a moderate decrease in specific viability was observed when Daudi cells were incubated with 1.25 µg/ml or higher concentration of ch38SB13, ch38SB30 and ch38SB31 in the presence of complement (the specific viability was 65%, 45% and 53%, respectively). ;;Example 8 ;Binding affinity and apoptotic, ADCC and CDC activities of humanized anti-CD38 antibodies ;The two versions of humanized 38SB19 (hu38SB19 v1.00 and v1.20) and the chimeric 38SB19 showed similar binding affinity when tested with Ramos cells with KD values of 0.23 nM, 0.25 nM and 0.18 nM, respectively (Fig. 12A). The binding affinity of chimeric and humanized 38SB19 antibodies was also collected in a competition binding assay in which their ability to compete with the binding of biotinylated, murine 28SB19 antibody is measured. Biotin-labeled murine 38SB19 antibody (3 x 10 <-10 >M) were mixed with various concentrations of ch38SB10, hu29SB19 v1.00 or hu38SB19 v1.20. The antibody mixture was incubated with Ramos cells and the amount of biotinylated, murine 38SB29 bound to the cells was measured with FITC-conjugated streptavidin by FACS analysis. Hu38SB19 v1.00, hu38SB19 v1.29 and ch38SB19 competed equally well with the binding of biotinylated, murine 38SB19 (Fig. 12B), again indicating that the binding affinity is unaffected by humanization. When ch38SB19, hu38SB19 v1.00 and hu38SB19 v1.20 (10 <-8 >to 10 <-11 >M) were compared for their ability to induce apoptosis of Daudi cells, they showed similar apoptotic activities (Fig.139. Furthermore, hu38SB10 v1.00 and v1.20 also showed similar ADCC to ch38SB19 in LP-1 cells (Fig.14) and similar CDC potencies to ch38SB19 in Raji-IMG and LP-1 cells (Fig.15). Hu38SB19 v1.00 also showed similar CDC activity to ch28SB19 in the T-cell acute lymphoblastic leukemia cell line DND-41 (DSMZ 525) (Fig.15). Hu38SB19 v1.00 was further tested for its ability to induce apoptosis in a diverse set of cell lines (Fig.16). Treatment with hu38SB10 v1.00 (10 <-8 >M) resulted in a dramatic increase in Annexin V-positive cells in the B-cell lymphoma cell lines SU-DHL-8 (DSMZ ACC 583) (from 7% in untreated control to 97% in hu38SB10-treated cells) and NU-DUL-1 (DSMZ ACC 589) (from 10% in untreated control to 37% in hu38SB19-treated cells) and the T-ALL cell line DND-41 (from 7% in untreated control to 69% in hu38SB19-treated cells). In addition, treatment with hu38SB10 v1.00 (10 <-8 >M) the proportion of Annexin V-positive cells in the B-cell lymphocytic leukemia cell line JVM-13 (DSMZ ACC 19) (from 8% in untreated control to 17% in hu38SB19-treated cells) and in the hairy cell leukemia cell line HX-1 (DSMZ ACC 301) (from 6% in untreated control to 10% in hu38SB19-treated cells). ;;Similarly, two versions of humanized 38SB31 (hu38SB31 v1.1 and v1.2) and the chimeric 38SB31 showed similar binding affinities when tested with Ramos cells with KD values of 0.13 nM, 0.11 nM and 0.12 nM, respectively. The binding affinities of chimeric and humanized 38SB31 antibodies were also compared in a competition binding assay as described above, and performed equally well. Hu38SB31 v1.1 was further tested for its ability to induce apoptosis in additional cell lines. The humanized antibody showed similar apoptotic activities as ch38SB31 against Ramos, Daudi, Molp-8 and SUÆ-DHL-8 cells. Furthermore, hu38SB31 v1.1 also showed similar ADCC and CDC activities as ch38SB31 in these cell lines. ;;Example 9 ;In vivo efficacy of 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 The in vivo anti-tumor activities of 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 were investigated in a survival human xenograft tumor model in immunodeficient mice (female CB.17 SCID), established with Ramos lymphoma cells. Female CB.17 SCID mice were inoculated with 2 x 10 <6 >Ramos cells in 0.1 ml serum-free medium through a lateral tail vein. 7 days after tumor cell inoculation, mice were randomized into 7 groups based on body weight. There were 10 mice per group, except for the 38SB31-treated group which had 6 mice, and the 38SB39-treated group which had 8 mice. Antibodies were administered intravenously to mice at a dose of 40 mg/kg, twice per week, for three consecutive weeks, starting 7 days after cell inoculation. Mice were sacrificed if one or both hind limbs were paralyzed, body weight loss was more than 20% from the pretreatment value, or the animal was too sick to access food and water. Treatment with 38SB13, 38SB18, 38SB19, 38SB30, 38SB31 and 38SB39 significantly prolonged the survival of the mice, compared to the PBS-treated mice (Fig. 17). The median survival for PBS-treated mice was 22 days and that of the antibody-treated groups ranged from 28 to 33 days. ;;The in vivo anti-tumor activities of mu38SB19 and hu38SB19 were further investigated in additional human xenograft tumor models in immunodeficient mice. For a Daudi lymphoma survival model, SCID mice were inoculated with 5 x 10 <6 >Daudi cells in 0.1 ml serum-free medium through a lateral tail vein. The study was performed as described above. Treatment with either mu38SB19 or hu38SB19 significantly prolonged the survival of mice compared with that of PBS-treated mice (Fig. 18). The median survival for PBS-treated mice was 22 days, while the median survival for antibody-treated mice was 47 days. ;;For an NCI-H929 multiple myeloma tumor model, SCID mice were inoculated subcutaneously with 10 <7 >cells. When tumors were palpable on day 6, animals were randomized into groups of 10 according to body weight and antibody treatment was initiated. The Hu38SB19 antibody or a non-binding, chimeric IgG1 control antibody (rituximab, BiogenIdec) was administered intravenously to mice at a dose of 40 mg/kg, twice weekly, for three consecutive weeks. Tumor volume was monitored and animals were sacrificed if the tumor reached 2000 mm <3 >in size or became necrotic. PBS-treated group reached a mean tumor volume of 1000 mm <3 >on day 89, the chimeric IgG1 control antibody group on day 84 (Fig. 19). Treatment with hu38SB19 completely prevented tumor growth in all 10 animals. In contrast, only two animals in the PBS-treated group and three animals in the chimeric IgG1 control antibody group showed tumor regression. ;;For a MOL-8 multiple myeloma tumor model, SCID mice were inoculated subcutaneously with 10 <7 >cells. When tumors were palpable on day 4, animals were randomized into groups of 10 according to body weight and antibody treatment was initiated. The hu38SB19 and mu38SB19 antibodies or a chimeric IgG1 control antibody were administered intravenously to mice at a dose of 40 mg/kg, twice weekly, for three consecutive weeks. Tumor volume was monitored and animals were sacrificed if tumors reached 2000 mm <3 >in size, or became necrotic. The PBS-treated group reached a mean tumor volume of 500 mm <3>on day 22, the chimeric IgG1 control antibody group on day 23 (Fig. 20). None of the tumors in these groups showed regression. In contrast, treatment with hu38SB19 or mu38SB19 led to tumor regression in 8 of 10 and 6 of 10 animals, respectively. ;Tables ;Table 1: ;Mu38SB19 light chain framework surface residues and corresponding residues at the same Kabat position in human 1.69 antibody. The residues that are different and therefore changed in the hu38SB19 antibody are in the shaded boxes. The marked (*) residues are backmutated to the mu38SB19 residue in one or more hu38SB19 variants.
Tabell 1B: Table 1B:
Mu38SB19 tungkjede rammeverks overflaterester og tilsvarende rester på samme Kabat-posisjon i det humane 1.69-antistoff. Rester som er forskjellige og derfor forandret i hu38SB19-antistoff er gråtonet. Mu38SB19 heavy chain framework surface residues and corresponding residues at the same Kabat position in the human 1.69 antibody. Residues that are different and therefore changed in the hu38SB19 antibody are shaded in gray.
Tabell 2 Table 2
Primere benyttet for de degenerate PCR-reaksjoner er basert på de hos Wang et al., 2000, bortsett fra HindKL som er basert på Co et al., 1992. Blandede baser er definert som følger: H=A+T+C, S=g+C, Y=C+T, K= G+T, M=A+C, R=A+g, W=A+T, V = A+C+G. Primers used for the degenerate PCR reactions are based on those of Wang et al., 2000, except for HindKL which is based on Co et al., 1992. Mixed bases are defined as follows: H=A+T+C, S=g+C, Y=C+T, K= G+T, M=A+C, R=A+g, W=A+T, V = A+C+G.
Tabell 3 Table 3
Lett- og tungkjede PCR-reaksjonsblandinger for kloning av de 38SB19-variabelt område cDNA-sekvenser. Light and heavy chain PCR reaction mixtures for cloning the 38SB19 variable region cDNA sequences.
Tabell 4 Table 4
5’ ende murin ledersekvens primere som ble benyttet for 38SB19 andre runde PCR-reaksjoner. 3’ endeprimerne er identiske med de som ble benyttet i førsterunde reaksjonene fordi de primet til de respektive konstantområdesekvenser. 5’ end murine leader sequence primers used for 38SB19 second round PCR reactions. The 3’ end primers are identical to those used in the first round reactions because they primed to the respective constant region sequences.
Tabell 5 Table 5
cDNA beregnede og LC/MS målte molekylvekter for de murine 38SB19-antistoff letteog tunge kjeder. cDNA calculated and LC/MS measured molecular weights for the murine 38SB19 antibody light and heavy chains.
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